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Flow disturbances and progression of endocardial fibroelastosis - a case report
Viktoria Weixler1, Peter E Hammer1, Gerald R Marx2
1Department of Cardiac Surgery, Boston Children's Hospital and Harvard Medical School, 300 Longwood Ave., Boston, MA 02115, USA.
Abstract:
Endocardial fibroelastosis (EFE) is described as thickening of the endocardium and is associated with hypoplastic left heart syndrome (HLHS). The stimulus for EFE and the mechanism for recurrence and/or progression need to be investigated. In this report, we describe the case of a 4-year-old HLHS patient who underwent several surgeries with EFE resections due to recurrence of EFE. EFE recurrence was associated with flow disturbances due to valvar defects. At her latest follow-up 7 months after the last surgery, competent valves and no EFE were identified on all imaging study.
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