Calcified Left Ventricular Endomyocardial Fibrosis
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Antonio Grimaldi, Anna Chiara Vermi, Ottavio Alfieri, Iacopo Olivotto, Francesco M. Sacco, Paolo G. Camici, Juergen Freers Cardiovascular and Thoracic Department, San Raffaele Scientific Institute and Università Vita-Salute San Raffaele, Milan, Italy, Cardiology Unit, Mulago-Hospital/Makerere University College of Health Sciences, Kampala, Uganda, Referral Center for Myocardial Diseases, Azienda Ospedaliera Universitaria Careggi, Florence, Italy |
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Endomyocardial fibrosis (EMF) is a rare condition, but in certain tropical countries it is a major cause of illness and death. Moreover, the etiology of the disease is unknown, it has no specific treatment, and it carries a poor prognosis. As both the heart and the peritoneum may be affected by the inflammation and deposition of fibrous tissue, even left ventricular EMF may present with gross ascites mimicking |
right-heart failure. Notwithstanding attempts to standardize the diagnostic criteria, the clinical presentation may still be challenging. The case is described of calcified left ventricular EMF presenting with right-heart failure in the absence of right ventricular fibrosis. |
| Calcified Left Ventricular Endomyocardial Fibrosis | |
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