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October 1, 1956PEDIATRICS

Endocardial Fibro-Elastosis

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Key result

In 129 hearts with congenital malformations, endocardial fibrosis was associated with mechanical factors and hypoxia, with elastic tissue being a normal component of the fibrosis.

Population

129 hearts with relatively uncomplicated congenital malformations

Design

Case_series

Authors

DADorothy H. AndersenNewYork–Presbyterian HospitalJKJanice KellyPurdue University West Lafayette

Discussion

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Implication

May refine histopathological assessment in congenital heart disease; leaves open causal and therapeutic implications.

Key Points

  • This research aims to assess the site and extent of endocardial fibrosis in hearts with congenital malformations.
  • Analyzed endocardial thickness in 129 hearts with congenital defects.
  • Evaluated the relationship between mechanical factors and fibrosis location.
  • Studied the impact of age and coronary blood supply on fibrosis severity.
  • Most hearts exhibited endocardial thickening correlated with increased intracardiac pressure.
  • Fibrosis severity increased with age and was significant in severe aortic stenosis cases.
  • Elastic and collagen fibers proliferated in thickened endocardium, indicating tissue response to injury.

Study Design

Type

Observational (n=129)

Structured PICO

P
Population
129 hearts with relatively uncomplicated congenital malformations were examined to estimate the site and degree of endocardial fibrosis.
O
Outcome
Site and degree of endocardial fibrosissurrogate

Endocardial fibro-elastosis in congenital heart disease appears to be driven by mechanical stress and hypoxia, with elastic tissue proliferation being a normal component of the fibrotic response.

Cite This Study

Andersen et al. (1956) conducted an observational in Congenital malformations (n=129). Mechanical factors and hypoxia was evaluated on Site and degree of endocardial fibrosis. In 129 hearts with congenital malformations, endocardial fibrosis was associated with mechanical factors and hypoxia, with elastic tissue being a normal component of the fibrosis.

synapsesocial.com/papers/6a4ee6dc301e951e51e05930https://doi.org/10.1542/peds.18.4.513
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Also Consider

Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context:

  1. 1Endocardial Fibroelastosis: Roentgen Appearance1955 · 11 citations
  2. 2Fetal Cardiac Failure Resulting from Endocardial Fibroelastosis1974 · 3 citations
  3. 3ENDOCARDIAL FIBROELASTOSIS1951 · 25 citations
  4. 4Frequency and severity of endocardial fibroelastosis in dilated hearts from children—endocardial thickness is inversely correlated to age1994 · 7 citations
  5. 5Early fetal endocardial fibroelastosis and critical aortic stenosis: a case report1995 · 27 citations