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OBLITERATIVE RESTRICTIVE ENDOMYOCARDIAL FIBROSIS: A SURGICAL APPROACH
Ivo Eterovic1, Paolo Angelini, Robert Leachman
1Department of Surgery and the Department of Cardiology, Texas Heart Institute of St. Luke's Episcopal and Texas Children's Hospitals, Houston, Texas.
Abstract:
Restrictive cardiomyopathies have been variously classified and interpreted. Although their etiologic and anatomic features may vary, their common denominator is indicated by restrictive hemodynamic behavior of either the left or right ventricle or both. This report describes a case in which such restriction was caused by obliterative endomyocardial fibrosis of unknown etiology. Because of significant symptomatology, including congestive failure and syncope, the patient underwent surgical excision of the endomyocardial overgrowth.
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