| Literature DB >> 19190586 |
Ana Olga Mocumbi1, Carla Carrilho, Margaret M Burke, Gavin Wright, Magdi H Yacoub.
Abstract
BACKGROUND: An 11-year-old girl presented to a specialist cardiac facility in Mozambique. She had severe heart failure and massive cardiac enlargement, herniation of the heart into the epigastrium, atrial fibrillation, signs of severe pulmonary hypertension and a low cardiac output. INVESTIGATIONS: Chest radiography, echocardiography, 24 h Holter monitoring, and cardiac catheterization. DIAGNOSIS: Left and right endomyocardial fibrosis in conjunction with an aneurysmal left atrium, severe heart failure, and atrial fibrillation. MANAGEMENT: Left ventricular endocardiectomy with mobilization of the chordae tendineae, mitral valve repair, tricuspid annuloplasty, and left atrial resection.Entities:
Mesh:
Year: 2009 PMID: 19190586 DOI: 10.1038/ncpcardio1449
Source DB: PubMed Journal: Nat Clin Pract Cardiovasc Med ISSN: 1743-4297