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Erschienen in: Heart and Vessels 9/2016

08.01.2016 | Case Report

Endomyocardial fibrosis: missing tricuspid valve and Fontan-like circulation

verfasst von: Yasuyuki Shiraishi, Takashi Kohno, Yoko Fujii-Nishimura, Masayuki Shimoda, Yoshihiko Ikeda, Kazuaki Nakajima, Takahiko Nishiyama, Nobuhiro Nishiyama, Mitsushige Murata, Yuichiro Maekawa, Motoaki Sano, Keiichi Fukuda

Erschienen in: Heart and Vessels | Ausgabe 9/2016

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Abstract

Endomyocardial fibrosis (EMF) is a progressive type of obliterative/restrictive cardiomyopathy characterized by fibrosis of the apical endomyocardium of the ventricles. Although the prognosis of EMF patients is poor in tropical regions, the exact clinical course and pathogenesis of patients with EMF are not known. Here, we report the rare case with EMF in the seventh decade, who showed the disappearance of papillary muscles, chordae tendineae, and part of the tricuspid valves due to massive right ventricular thrombus. Because of those unusual findings of the isolated RV involvement, we observed continuous forward pulmonary artery flow, as occurring in a Fontan circulation.
Literatur
1.
Zurück zum Zitat Mocumbi AO, Ferreira MB, Sidi D, Yacoub MH (2008) A population study of endomyocardial fibrosis in a rural area of Mozambique. N Engl J Med 359:43–49CrossRefPubMed Mocumbi AO, Ferreira MB, Sidi D, Yacoub MH (2008) A population study of endomyocardial fibrosis in a rural area of Mozambique. N Engl J Med 359:43–49CrossRefPubMed
2.
Zurück zum Zitat Seth S, Thatai D, Sharma S, Chopra P, Talwar KK (2004) Clinico-pathological evaluation of restrictive cardiomyopathy (endomyocardial fibrosis and idiopathic restrictive cardiomyopathy) in India. Eur J Heart Fail 6:723–729CrossRefPubMed Seth S, Thatai D, Sharma S, Chopra P, Talwar KK (2004) Clinico-pathological evaluation of restrictive cardiomyopathy (endomyocardial fibrosis and idiopathic restrictive cardiomyopathy) in India. Eur J Heart Fail 6:723–729CrossRefPubMed
3.
Zurück zum Zitat Mocumbi AO, Yacoub S, Yacoub MH (2008) Neglected tropical cardiomyopathies: II. Endomyocardial fibrosis: myocardial disease. Heart 94:384–390CrossRefPubMed Mocumbi AO, Yacoub S, Yacoub MH (2008) Neglected tropical cardiomyopathies: II. Endomyocardial fibrosis: myocardial disease. Heart 94:384–390CrossRefPubMed
4.
Zurück zum Zitat Mocumbi AO, Falase AO (2013) Recent advances in the epidemiology, diagnosis and treatment of endomyocardial fibrosis in Africa. Heart 99:1481–1487CrossRefPubMed Mocumbi AO, Falase AO (2013) Recent advances in the epidemiology, diagnosis and treatment of endomyocardial fibrosis in Africa. Heart 99:1481–1487CrossRefPubMed
6.
Zurück zum Zitat Shimizu M, Miyamoto K, Nishimura Y, Izumi G, Sakai S, Inai K, Nishikawa T, Nakanishi T (2015) Risk factors and serological markers of liver cirrhosis after Fontan procedure. Heart Vessels. doi:10.1007/s00380-015-0743-4 Shimizu M, Miyamoto K, Nishimura Y, Izumi G, Sakai S, Inai K, Nishikawa T, Nakanishi T (2015) Risk factors and serological markers of liver cirrhosis after Fontan procedure. Heart Vessels. doi:10.​1007/​s00380-015-0743-4
7.
Zurück zum Zitat Bjork VO, Olin CL, Bjarke BB, Thoren CA (1979) Right atrial-right ventricular anastomosis for correction of tricuspid atresia. J Thorac Cardiovasc Surg 77:452–458PubMed Bjork VO, Olin CL, Bjarke BB, Thoren CA (1979) Right atrial-right ventricular anastomosis for correction of tricuspid atresia. J Thorac Cardiovasc Surg 77:452–458PubMed
8.
Zurück zum Zitat Perazzolo Marra M, Thiene G, Rizzo S, De Lazzari M, Carturan E, Tona F, Caforio AL, Cacciavillani L, Marcolongo R, Tarantini G, Corbetti F, Iliceto S, Basso C (2014) Cardiac magnetic resonance features of biopsy-proven endomyocardial diseases. JACC Cardiovasc Imaging 7:309–312CrossRefPubMed Perazzolo Marra M, Thiene G, Rizzo S, De Lazzari M, Carturan E, Tona F, Caforio AL, Cacciavillani L, Marcolongo R, Tarantini G, Corbetti F, Iliceto S, Basso C (2014) Cardiac magnetic resonance features of biopsy-proven endomyocardial diseases. JACC Cardiovasc Imaging 7:309–312CrossRefPubMed
9.
Zurück zum Zitat Salemi VM, Rochitte CE, Shiozaki AA, Andrade JM, Parga JR, de Avila LF, Benvenuti LA, Cestari IN, Picard MH, Kim RJ, Mady C (2011) Late gadolinium enhancement magnetic resonance imaging in the diagnosis and prognosis of endomyocardial fibrosis patients. Circ Cardiovasc Imaging 4:304–311CrossRefPubMed Salemi VM, Rochitte CE, Shiozaki AA, Andrade JM, Parga JR, de Avila LF, Benvenuti LA, Cestari IN, Picard MH, Kim RJ, Mady C (2011) Late gadolinium enhancement magnetic resonance imaging in the diagnosis and prognosis of endomyocardial fibrosis patients. Circ Cardiovasc Imaging 4:304–311CrossRefPubMed
11.
Zurück zum Zitat Kishimoto C, Shioji K, Hashimoto T, Nonogi H, Lee JD, Kato S, Hiramatsu S, Morimoto SI (2014) Therapy with immunoglobulin in patients with acute myocarditis and cardiomyopathy: analysis of leukocyte balance. Heart Vessels 29:336–342CrossRefPubMed Kishimoto C, Shioji K, Hashimoto T, Nonogi H, Lee JD, Kato S, Hiramatsu S, Morimoto SI (2014) Therapy with immunoglobulin in patients with acute myocarditis and cardiomyopathy: analysis of leukocyte balance. Heart Vessels 29:336–342CrossRefPubMed
12.
Zurück zum Zitat Frustaci A, Russo MA, Chimenti C (2009) Randomized study on the efficacy of immunosuppressive therapy in patients with virus-negative inflammatory cardiomyopathy: the TIMIC study. Eur Heart J 30:1995–2002CrossRefPubMed Frustaci A, Russo MA, Chimenti C (2009) Randomized study on the efficacy of immunosuppressive therapy in patients with virus-negative inflammatory cardiomyopathy: the TIMIC study. Eur Heart J 30:1995–2002CrossRefPubMed
Metadaten
Titel
Endomyocardial fibrosis: missing tricuspid valve and Fontan-like circulation
verfasst von
Yasuyuki Shiraishi
Takashi Kohno
Yoko Fujii-Nishimura
Masayuki Shimoda
Yoshihiko Ikeda
Kazuaki Nakajima
Takahiko Nishiyama
Nobuhiro Nishiyama
Mitsushige Murata
Yuichiro Maekawa
Motoaki Sano
Keiichi Fukuda
Publikationsdatum
08.01.2016
Verlag
Springer Japan
Erschienen in
Heart and Vessels / Ausgabe 9/2016
Print ISSN: 0910-8327
Elektronische ISSN: 1615-2573
DOI
https://doi.org/10.1007/s00380-015-0792-8

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