An uncommon picture of endomyocardial fibrosis: no embolism yet

Decreased Protein C Levels in Endomyocardial Fibrosis: The Possible Significance

“…So maybe this is also a link in the arm of the pathogenesis of endomyocardial fibrosis where protein C deficiency is only the final straw on the camels back of the disease process in endomyocardial fibrosis. Thrombi of the size described in one of our reports should have some other pathogenesis [18].…”

Endomyocardial Fibrosis and the Prothrombotic State: From Hypercoagualability to Protien C Deficiency

“…Echocardiographic evidence of thrombi in five patients with embolism has also been previously described (Heart) Heart Asia and Heart Asia by us [7][8][9]. Now the question is, is it because of the large atrial cavities?…”

“…So it may be a platelet abnormality caused by the severe iron deficiency anaemia. Our patient illustrated in the report with a very large RA thrombus actually usually has a haemoglobin of 6 gms till we give her multiple transfusions and her TC is around 4000 with normal platelet counts [9].…”

“…This is large intra-cavitarythrombi. Of course, thrombi can occur even in any large chamber with stasis and slow flow [9]. But, if a historical review is made, the thrombosis in EMF appears to be extensive, and may be a little out of proportion to the degree of chamber enlargement and stasis.…”

A prominent ‘A’ notch in the pulmonary valve M mode-one more cause of the same

“…So we believe we are the first to describe this. We have previously described the natural history of endomyocardial fibrosis4 and the medical treatment of endomyocardial fibrosis5 and the uncommon picture of endomyocardial fibrosis 6…”