Endomyocardial fibrosis mimicking Ebstein's anomaly: a diagnostic challenge.
Endomyocardial fibrosis is a rare disease that is seen most commonly in tropical countries. It usually presents with characteristics of right-heart failure. Herein, we report the case of a 14-year-old adolescent boy who experienced endomyocardial fibrosis. Upon transthoracic echocardiography, the condition was mistakenly diagnosed as Ebstein's anomaly of the tricuspid valve. Sixteen months after undergoing tricuspid annuloplasty and receiving a bidirectional Glenn shunt, the patient showed no echocardiographic evidence of valvular regurgitation. We discuss imaging and surgical techniques that enable the diagnosis and treatment of endomyocardial fibrosis.
Vaidyanathan
Karthik
K
Department of Cardiac Surgery, Frontier Lifeline, Dr. KM Cherian Heart Foundation, Chennai 600101, India. rkvdoc@rediffmail.com
Agarwal
Ravi
R
Sahayaraj
Anto
A
Sankar
Madhu
M
Cherian
Kotturathu Mammen
KM
D000293:Adolescent; D006348:Cardiac Surgical Procedures; D003951:Diagnostic Errors; D004437:Ebstein Anomaly / Q000175:diagnosis* / Q000601:surgery; D004452:Echocardiography; D004719:Endomyocardial Fibrosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D054092:Foramen Ovale, Patent / Q000209:etiology / Q000601:surgery; D006801:Humans; D008297:Male; D016896:Treatment Outcome; D014262:Tricuspid Valve Insufficiency / Q000209:etiology / Q000601:surgery; D018754:Ventricular Dysfunction / Q000209:etiology / Q000601:surgery