title: A Rare Case of Mitral Valve Prolapse in Endomyocardial Fibrosis.
abstract: Mitral valve prolapse in endomyocardial fibrosis (EMF) is an unusual entity. Literature search reveals only 1 report of mitral valve prolapse assosiated with EMF. A 32-year-old woman, of African origin, who presented with features of right heart failure, was diagnosed to have mitral valve prolapse of rheumatic origin with severe mitral regurgitation and severe pulmonary hypertension (PAH). Intraoperative findings lead to the diagnosis of EMF. We report this rare case of mitral valve prolapse in EMF, in a geographical area where rheumatic heart disease is endemic, to showcase how a rare manifestation of EMF can be misdiagnosed as that of rheumatic heart disease.
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Fortis Hospitals, Bengaluru, Karnataka, India. Electronic address: drjosephx@gmail.com.
authors.forename: Joseph
authors.initials: J
authors.lastname: Xavier
authors.affiliation: Department of Cardiothoracic and Vascular Surgery, Fortis Hospitals, Bengaluru, Karnataka, India.
authors.forename: Maruti Yamanappa
authors.initials: MY
authors.lastname: Haranal
authors.affiliation: Department of Cardiology, Fortis Hospitals, Bengaluru, Karnataka, India.
authors.forename: Shashidhar Ranga
authors.initials: SR
authors.lastname: Reddy
authors.affiliation: Department of Anaesthesia, Fortis Hospitals, Bengaluru, Karnataka, India.
authors.forename: Sharadaprasad
authors.initials: S
authors.lastname: Suryaprakash
mesh_terms: D000328:Adult; D001741:Black or African American; D004452:Echocardiography / Q000379:methods*; D004719:Endomyocardial Fibrosis / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D005260:Female; D005500:Follow-Up Studies; D006333:Heart Failure / Q000175:diagnosis / Q000209:etiology; D019918:Heart Valve Prosthesis Implantation / Q000379:methods*; D006801:Humans; D006976:Hypertension, Pulmonary / Q000209:etiology / Q000503:physiopathology / Q000628:therapy; D008945:Mitral Valve Prolapse / Q000000981:diagnostic imaging* / Q000209:etiology / Q000601:surgery*; D035583:Rare Diseases; D018570:Risk Assessment; D012720:Severity of Illness Index; D016896:Treatment Outcome