1. Predominant RV endomyocardial fibrosis masking rheumatic mitral stenosis.
- Author
-
Bohara DA, Ghogare MS, Taksande AR, Mahajan AU, and Nathani PJ
- Subjects
- Adult, Cardiomyopathy, Restrictive diagnosis, Diagnosis, Differential, Disease Progression, Echocardiography, Electrocardiography, Fatal Outcome, Female, Humans, India, Magnetic Resonance Imaging, Cine, Mitral Valve pathology, Pericardial Effusion diagnosis, Prognosis, Developing Countries, Endomyocardial Fibrosis diagnosis, Heart Ventricles pathology, Mitral Valve Stenosis diagnosis, Rheumatic Heart Disease diagnosis, Ventricular Dysfunction, Right diagnosis
- Abstract
We report a 30 year female with rheumatic mitral stenosis, presenting with progressive right heart failure without overt leftheart symptoms. Rapid progression to severe right heart failure with moderate pericardial effusion prompted the diagnosis of associated restrictive cardiomyopathy. A MRI scan of the heart revealed diffuse subendocardial scarring of LV and RV explaining patient's rapid downhill course.
- Published
- 2014