title: Predominant RV endomyocardial fibrosis masking rheumatic mitral stenosis.
abstract: We report a 30 year female with rheumatic mitral stenosis, presenting with progressive right heart failure without overt leftheart symptoms. Rapid progression to severe right heart failure with moderate pericardial effusion prompted the diagnosis of associated restrictive cardiomyopathy. A MRI scan of the heart revealed diffuse subendocardial scarring of LV and RV explaining patient's rapid downhill course.
authors.forename: D A
authors.initials: DA
authors.lastname: Bohara
authors.forename: M S
authors.initials: MS
authors.lastname: Ghogare
authors.forename: A R
authors.initials: AR
authors.lastname: Taksande
authors.forename: A U
authors.initials: AU
authors.lastname: Mahajan
authors.forename: P J
authors.initials: PJ
authors.lastname: Nathani
mesh_terms: D000328:Adult; D002313:Cardiomyopathy, Restrictive / Q000175:diagnosis; D003906:Developing Countries; D003937:Diagnosis, Differential; D018450:Disease Progression; D004452:Echocardiography; D004562:Electrocardiography; D004719:Endomyocardial Fibrosis / Q000175:diagnosis*; D017809:Fatal Outcome; D005260:Female; D006352:Heart Ventricles / Q000473:pathology; D006801:Humans; D007194:India; D019028:Magnetic Resonance Imaging, Cine; D008943:Mitral Valve / Q000473:pathology; D008946:Mitral Valve Stenosis / Q000175:diagnosis*; D010490:Pericardial Effusion / Q000175:diagnosis; D011379:Prognosis; D012214:Rheumatic Heart Disease / Q000175:diagnosis*; D018497:Ventricular Dysfunction, Right / Q000175:diagnosis*