Key result
Fibrosis resection and AV valve replacement are evaluated in 5 cases of constrictive fibrous endocarditis.
Why the study?
What are the indications and results of surgical resection and valve replacement in patients with constrictive fibrous endocarditis?
Case Report (n=5)
What are the indications and results of surgical resection and valve replacement in patients with constrictive fibrous endocarditis?
Surgical resection of ventricular fibrosis and valve replacement is a described treatment for constrictive fibrous endocarditis, based on a 5-case experience.
Case series suggests surgical feasibility in severe constrictive fibrous endocarditis; hypothesis-generating and should not change practice without larger studies.
Constrictive fibrous endocarditis is a pathological entity described by Loëffler in 1936. Its etiology is unknown. The clinical course is characterized by an evolution towards cardiac insufficiency leading rapidly to a fatal outcome. Moderen paraclinical investigations are necessary to assess the diagnostic. Caridac catheterization brings the proof of adiastole and angiogardiography reveals the shape of amputation of the ventricle with auriculoventricular regurgitation. The operative procedure consists of resection of the ventricular fibrosis including the valves and auriculo-ventricular valve replacement by a prosthetic valve. The disease affects both Caucasians and Negros. Our experience includes 5 cases. The indications for operation and their results are discussed.
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Dubost et al. (1976) conducted a case report in Constrictive fibrous endocarditis (n=5). Surgical treatment (resection of ventricular fibrosis and valve replacement) was evaluated. Surgical treatment consisting of resection of ventricular fibrosis and auriculo-ventricular valve replacement was evaluated in 5 cases of constrictive fibrous endocarditis.
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