Moraes C R, Buffolo E, Victor E, Saraiva L, Gomes J M, Lira V, Lima R, Escobar M, Andrade J C
Ann Thorac Surg. 1980 Mar;29(3):243-8. doi: 10.1016/s0003-4975(10)61875-9.
Six patients with endomyocardial fibrosis were treated by endocardium decortication and atrioventricular valve replacement. There were 5 female patients and 1 male patient ranging from 14 to 48 years old (mean, 30 years). Four patients had involvement of the right ventricle, 1 patient had involvement of the left ventricle, and 1 patient had biventricular disease. There was 1 operative death due to low cardiac output state (the patient with biventricular endomyocardial fibrosis), and there was 1 late noncardiac death. The surgical literature, which describes 19 previously reported cases, was reviewed. On the basis of the results of this series and those of the reported cases, it is concluded that surgical treatment of endomyocardial fibrosis is feasible and provides good clinical improvement.
6例心内膜心肌纤维化患者接受了心内膜剥脱术和房室瓣膜置换术。其中女性患者5例，男性患者1例，年龄在14至48岁之间（平均30岁）。4例患者右心室受累，1例患者左心室受累，1例患者双心室病变。有1例患者因低心排血量状态死亡（双心室心内膜心肌纤维化患者），1例患者出现晚期非心脏性死亡。回顾了描述19例既往报道病例的外科文献。基于本系列病例及报道病例的结果，得出结论：心内膜心肌纤维化的外科治疗是可行的，且能带来良好的临床改善。
