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You are here: Contents > 2012 > Volume 21 Number 3 May 2012 > MISCELLANEOUS > Calcified Left Ventricular Endomyocardial Fibrosis

Calcified Left Ventricular Endomyocardial Fibrosis

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

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.

The Journal of Heart Valve Disease 2012;21:384-386

Calcified Left Ventricular Endomyocardial Fibrosis

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