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[Bi-ventricular endo-myocardial fibrosis (author's transl)]
Insights
This study diagnosed bi-ventricular endomyocardial fibrosis in two women presenting with severe cardiac insufficiency. Angiocardiography revealed characteristic ventricular morphology, aiding diagnosis.
Area of Science:
- Cardiology
- Pathology
Background:
- Endomyocardial fibrosis is a rare cardiac condition.
- This study investigates bi-ventricular involvement.
Observation:
- Two European women presented with severe cardiac insufficiency despite moderate cardiac enlargement.
- Hemodynamic assessment showed restricted ventricular filling with preserved systolic function.
Findings:
- Angiocardiography revealed a small, globular left ventricle and a tubular, narrowed right ventricle with apical thickening.
- Echocardiography confirmed endomyocardial fibrosis in one patient.
Implications:
- This case series highlights key diagnostic features of bi-ventricular endomyocardial fibrosis.
- Early diagnosis through advanced imaging is crucial for managing cardiac insufficiency.
Abstract:
Bi-ventricular endo-mycardial fibrosis was diagnosed in two European women. Clinically there was severe cardiac insufficiency in the presence of only moderate radiological cardiac enlargement. Haemodynamically there was restricted filling, but otherwise normal systolic ventricular function. The diagnosis depended on the angio-cardiographic demonstration of a small, globular left ventricular chamber with a tubular narrowed right ventricle with a thickened wall, particularly at the apex. In one patient the endo-myocardial fibrosis was also demonstrated by echocardiography.