title: Successful reoperation after 17 years in a case of endomyocardial fibrosis.
abstract: Endomyocardial fibrosis is an uncommon cause of congestive cardiac failure characterized by severe diffuse thickening of the endocardium, and the overall long-term prognosis of this disease is generally considered poor. We report a case of endomyocardial fibrosis that was initially treated by endocardial resection and mitral valve replacement, which was regularly followed-up. The patient underwent successful repair of a paravalvular leak after a period of 17 years. The treatment of left ventricular endomyocardial fibrosis with associated mitral valve disease by endocardial resection and mitral valve replacement is a good surgical option that provides good long-term results.
authors.affiliation: Department of Cardiovascular Surgery, Frontier Lifeline, International Centre for Cardiothoracic and Vascular Diseases & Dr KM Cherian Heart Foundation, Chennai, India.
authors.forename: Sanjay Mammen
authors.initials: SM
authors.lastname: Cherian
authors.forename: Baylal Ragavendra
authors.initials: BR
authors.lastname: Jagannath
authors.forename: Sushma
authors.initials: S
authors.lastname: Nayar
authors.forename: Kotturathu Mammen
authors.initials: KM
authors.lastname: Cherian
mesh_terms: D000328:Adult; D001281:Atrial Fibrillation / Q000209:etiology; D004417:Dyspnea / Q000209:etiology; D017558:Elective Surgical Procedures; D004719:Endomyocardial Fibrosis / Q000601:surgery*; D005500:Follow-Up Studies; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000473:pathology / Q000601:surgery*; D011183:Postoperative Complications / Q000209:etiology / Q000601:surgery; D012086:Reoperation; D013536:Suture Techniques; D013997:Time Factors