Open AccessThe Surgical Treatment of Constrictive Fibrous Endocarditis
Author(s) -
C Dubost,
P Maurice,
A Gerbaux,
É. Bertrand,
Romuald Rullière,
F. Vial,
A Barrillon,
C Prigent,
A Carpentier,
R Soyer
Publication year - 1976
Publication title -
annals of surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 4.153
H-Index - 309
eISSN - 1528-1140
pISSN - 0003-4932
DOI - 10.1097/00000658-197609000-00007
Subject(s) - medicine , endocarditis , ventricle , constrictive pericarditis , angiocardiography , cardiac catheterization , etiology , cardiology , prosthesis , surgery , endomyocardial fibrosis , regurgitation (circulation) , pathological , radiology , fibrosis
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.