title: Endocardial fibroelastosis in a 57-year-old transplant recipient.
abstract: Endocardial fibroelastosis (EFE) is characterized by deposition of collagen and elastin leading to ventricular hypertrophy and diffuse endocardial thickening. Here we report (for the first time in Korea) the case of a EFE presenting with heart failure. The patient was a 57-year-old woman who had complained of dyspnea on exertion {New York Heart Association (NYHA) functional class 3} and abdominal distension at the time of hospital admission. Echocardiography showed severe diastolic dysfunction with normal systolic function. On MRI, the contrast-enhanced delayed myocardial image demonstrated hyperenhancement in the endocardium. Owing to progressive heart failure, the patient was transplanted. Histological examination of the explanted heart showed irregularly thickened endocardium with fibrosis and elastosis in the both ventricles, compatible with the diagnosis of EFE.
authors.affiliation: Department of Internal Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea.
authors.forename: Mirae
authors.initials: M
authors.lastname: Lee
authors.forename: Sung-Ji
authors.initials: SJ
authors.lastname: Park
authors.forename: Mi-Yeon
authors.initials: MY
authors.lastname: Kim
authors.forename: Sun-Youn
authors.initials: SY
authors.lastname: Bae
authors.forename: Ho-Jung
authors.initials: HJ
authors.lastname: Chung
authors.forename: Ghee Young
authors.initials: GY
authors.lastname: Kwon
authors.forename: Yeon Hyeon
authors.initials: YH
authors.lastname: Choe
authors.forename: Eun-Seok
authors.initials: ES
authors.lastname: Jeon