Emergency surgical treatment of advanced endomyocardial fibrosis in Mozambique.
BACKGROUND
An 11-year-old girl presented to a specialist cardiac facility in Mozambique. She had severe heart failure and massive cardiac enlargement, herniation of the heart into the epigastrium, atrial fibrillation, signs of severe pulmonary hypertension and a low cardiac output.


METHODS
Chest radiography, echocardiography, 24 h Holter monitoring, and cardiac catheterization.


METHODS
Left and right endomyocardial fibrosis in conjunction with an aneurysmal left atrium, severe heart failure, and atrial fibrillation.


RESULTS
Left ventricular endocardiectomy with mobilization of the chordae tendineae, mitral valve repair, tricuspid annuloplasty, and left atrial resection.
Mocumbi
Ana Olga
AO
Maputo Heart Institute, Mozambique.
Carrilho
Carla
C
Burke
Margaret M
MM
Wright
Gavin
G
Yacoub
Magdi H
MH
D002648:Child; D004719:Endomyocardial Fibrosis / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D009073:Mozambique; D016896:Treatment Outcome