The Surgical Treatment of Constrictive Fibrous Endocarditis

Dubost, C; Maurice, P; Gerbaux, A; Bertrand, É.; Rullière, Romuald; Vial, F.; Barrillon, A; Prigent, C; Carpentier, A; Soyer, R

doi:10.1097/00000658-197609000-00007

Cited by 53 publications

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“…Dubost is one of the first cardiac surgeons to describe the surgical technique for endomyocardial fibrosis, he showed that this disease occurs in the filling chamber of one or both ventricles, in the papillary muscles, in the chordae tendineae and in the valve leaflets. He also showed that it never involves the ventricular outflow tract neither the atrioventricular annulus nor the aortic orifice [ 5 ] .…”

Section: Discussionmentioning

confidence: 99%

“…Starting the incision from the junction of valvular annulus and the fibrotic tissues then pursuing the dissection towards the ventricular apex where the adhesions are usually dense. Dubost also demonstrated that the thickened endocardium has to be completely excised for the reason to improve the diastolic function of the ventricle [ 5 ] .…”

Section: Discussionmentioning

confidence: 99%

“…So, the pitfalls are to remain in contact with the fibrosis without cutting into the adjacent myocardium [ 5 ] , to start the resection of the fibrous tissue from the atrioventricular orifice to the apex and to perform the valve replacement as it is recommended, rather than valve repair as the disease process [ 5 ] .…”

Section: Discussionmentioning

confidence: 99%

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Surgical Management of The Endomyocardial Fibrosis of Right Ventricle Mimicking Tumor with Recurrent Pulmonary Embolism

Bzikha¹,

Queron²

2022

Braz J Cardiovasc Surg

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Endomyocardial fibrosis is a neglected tropical disease that leads to restrictive cardiomyopathy. Its etiopathogenis is unclear and involves the progression of 3 stages of the disease. Compared with echocardiography, cardiac magnetic resonance imaging shows better apical visualization of obliteration and thrombus and provides an early diagnosis. However, there is no specific drug therapy, although surgery can increase survival. Therefore, surgical resection of the fibrous and thickened endocardium is recommended for symptomatic patients. The risk of mortality increases as the ratio of endocardial fibrous tissue per body surface rises. The aim of this manuscript is to describe the surgical management of the right-sided endomyocardial fibrosis mimicking tumor with recurrent pulmonary embolism.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

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Surgical Management of The Endomyocardial Fibrosis of Right Ventricle Mimicking Tumor with Recurrent Pulmonary Embolism

Bzikha¹,

Queron²

2022

Braz J Cardiovasc Surg

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“…[ 2 ] Löffler endocarditis was first described in 1936, as an acute form of fibrinous restrictive pericarditis. [ 3 ] Histologically, it is described as the migration of eosinophils into the myocardium with, tissue damage and fibrosis resulting from eosinophil degranulation. [ 4 ] Löffler endocarditis is a rare manifestation of hypereosinophilic syndrome.…”

Section: Introductionmentioning

confidence: 99%

A Case Report of Colonoscopy-Induced Splenic Laceration: Risks and Outcomes

Rafa¹,

Campeas²,

Basile³

2021

AJMCR

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Löffler endocarditis is an uncommon, but known complication of hypereosinophilic syndrome (HES). It is a relatively rare entity, and remains poorly understood. To this point in time, the compendium of knowledge about this disease consists of various case reports, prospective studies and review articles. We aim to present a scoping study about this disease. Our goals are to identify the characteristic features found in case reports to identify characteristic features found in patients with Löffler endocarditis as a result of hypereosinophilic syndrome. An analysis of the 26 case reports showed a mean age of 41.6 years with a standard deviation of 17.1 years. Dyspnea was the most common presenting complaint (64%) followed by fatigue (23%), cough (19%), fever (19%), orthopnea/paroxysmal nocturnal dyspnea (19%), stroke related symptoms (15%), chest pain (15%) and lower extremity edema (15%). The most common cardiac structure affected was the mitral valve (65%), followed by the tricuspid valve (42%), left ventricle (23%), with 35% of cases having involvement of two valves. The most common therapeutic modality was immunosuppression (85%), followed by anticoagulation (73%) and mitral valve replacement (23%). Death was reported in 19% of the cases. Löffler’s endocarditis continues to be associated with high morbidity and mortality. Further research must aim to develop guidelines for management of this uncommon manifestation of hypereosinophilic syndrome.

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Endomyocardial biopsy in infants and children with cardiomyopathy

Narayan

Menahem

Chow

et al. 1991

Clinical Cardiology

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We reviewed our experience of endomyocardial biopsy performed on 21 symptomatic infants and children with cardiomyopathy. Clinical congestive cardiomyopathy was noted in 18 patients, 2 had hypertrophic cardiomyopathy, and 1 a restrictive cardiomyopathy. The biopsy findings led to a diagnosis of hemiochromatosis in one patient, Adriamycin cardiomyopathy in another, and lymphocytic myocarditis in a third. Five patients had features of endocardial fibroelastosis, one endomyocardial fibrosis, and a further one, a mitochrondrial abnormality. In 11 patients normal or nonspecific features were seen. There were 2 myocardial perforations, both patients being successfully resuscitated. Endomyocardial biopsy, although occasionally hazardous, may sometimes provide valuable information which may lead to a diagnosis, facilitate treatment, and be of prognostic value. Despite the low positive yield, it may still be indicated in selected patients, in view of the seriousness and often poor prognosis of this disorder: 5 of our study group subsequently died.

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The Surgical Treatment of Constrictive Fibrous Endocarditis

Cited by 53 publications

References 0 publications

Surgical Management of The Endomyocardial Fibrosis of Right Ventricle Mimicking Tumor with Recurrent Pulmonary Embolism

Surgical Management of The Endomyocardial Fibrosis of Right Ventricle Mimicking Tumor with Recurrent Pulmonary Embolism

A Case Report of Colonoscopy-Induced Splenic Laceration: Risks and Outcomes

Endomyocardial biopsy in infants and children with cardiomyopathy

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