title: Emergency surgical treatment of advanced endomyocardial fibrosis in Mozambique.
abstract: 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.
authors.affiliation: Maputo Heart Institute, Mozambique.
authors.forename: Ana Olga
authors.initials: AO
authors.lastname: Mocumbi
authors.forename: Carla
authors.initials: C
authors.lastname: Carrilho
authors.forename: Margaret M
authors.initials: MM
authors.lastname: Burke
authors.forename: Gavin
authors.initials: G
authors.lastname: Wright
authors.forename: Magdi H
authors.initials: MH
authors.lastname: Yacoub
mesh_terms: D002648:Child; D004719:Endomyocardial Fibrosis / Q000473:pathology* / Q000601:surgery*; D005260:Female; D006801:Humans; D009073:Mozambique; D016896:Treatment Outcome