RESUMEN
Endocardial fibroelastosis is un uncommon disease and it has a very bad prognosis since fatal evolution is usual before 2 years old. We report the case of a 20 years old woman who is affected with the contracted form of this disease associated with atrial septal defect (ASD) and mitral regurgitation. This disease was discovered by endocardial biopsy when she was 4 years old and underwent surgical resection of endocardial fibrosis, a patch on the ASD and mitral valve replacement. She was rehospitalised 15 years later with heart failure although continuous digitoxin therapy.
Asunto(s)
Fibroelastosis Endocárdica/cirugía , Defectos del Tabique Interatrial/patología , Adulto , Fibroelastosis Endocárdica/patología , Femenino , Implantación de Prótesis de Válvulas Cardíacas , Humanos , Válvula Mitral/patología , Válvula Mitral/cirugía , Insuficiencia de la Válvula Mitral , PronósticoRESUMEN
We report the case of a 26 years old woman, who was hospitalized for an acute anterior myocardial infarction, which happened 17 days after delivery. The culprit lesion was a coronary dissection observed on the coronary angiogram which was performed on the 7th day. This dissection cicatrised spontaneously at the control coronarography performed 3 months later. Conventional medical treatment seems to be sufficient, although the use of thrombolysis in our case was safe and successful.