Endomyocardial fibrosis associated with massive calcification of the left ventricle.

Abstract:

:This is the report of a rare case of endomyocardial fibrosis associated with massive calcification of the left ventricle in a male patient with dyspnea on great exertion, which began 5 years earlier and rapidly evolved. Due to lack of information and the absence of clinical signs that could characterize impairment of other organs, the case was initially managed as a disease with a pulmonary origin. With the evolution of the disease and in the presence of radiological images of heterogeneous opacification in the projection of the left ventricle, the diagnostic hypothesis of endomyocardial disease was established. This hypothesis was later confirmed on chest computed tomography. The patient died on the 16th day of the hospital stay, probably because of lack of myocardial reserve, with clinical findings of refractory heart failure, possibly aggravated by pulmonary infection. This shows that a rare disease such as endomyocardial fibrosis associated with massive calcification of the left ventricle may be suspected on a simple chest X-ray and confirmed by computed tomography.

journal_name

Arq Bras Cardiol

authors

Canesin MF,Gama RF,Smith DL,Kazuma FJ,Takiuchi A,Barretto AC

doi

10.1590/s0066-782x1999001200004

subject

Has Abstract

pub_date

1999-12-01 00:00:00

pages

499-506

issue

6

eissn

0066-782X

issn

1678-4170

pii

S0066-782X1999001200004

journal_volume

73

pub_type

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