title: Combined endocardiectomy and bidirectional glenn shunt for right ventricular endomyocardial fibrosis.
abstract: We report the case of a young African woman with a history of right ventricular failure. Image studies suggested endomyocardial fibrosis affecting only the right side of the heart. The right ventricle was extremely small and restricted. The surgical approach entailed endocardectomy and a bidirectional cavopulmonary shunt to improve weaning off bypass and postoperative recovery, both of which were successfully achieved.
authors.affiliation: Department of Cardiac Surgery, Fundación Jiménez Díaz, Madrid, Spain. ang.heredero@gmail.com
authors.forename: Angeles
authors.initials: A
authors.lastname: Heredero
authors.forename: Maribel
authors.initials: M
authors.lastname: Garcia-Vega
authors.forename: Marta
authors.initials: M
authors.lastname: Tomas
authors.forename: Marta
authors.initials: M
authors.lastname: Cremades
authors.forename: Pilar
authors.initials: P
authors.lastname: Calderon
authors.forename: Apostolos Paul
authors.initials: AP
authors.lastname: Karagounis
authors.forename: Gonzalo
authors.initials: G
authors.lastname: Aldamiz-Echevarria
mesh_terms: D006348:Cardiac Surgical Procedures / Q000379:methods*; D003937:Diagnosis, Differential; D017548:Echocardiography, Transesophageal; D004719:Endomyocardial Fibrosis / Q000150:complications / Q000175:diagnosis / Q000601:surgery*; D005260:Female; D005500:Follow-Up Studies; D018729:Fontan Procedure / Q000379:methods*; D006352:Heart Ventricles / Q000601:surgery*; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D018497:Ventricular Dysfunction, Right / Q000175:diagnosis / Q000209:etiology / Q000601:surgery*; D055815:Young Adult