2006-08-07-12 Endocardial fibroelastosis © Gourand www.thefetus.net/
Luc Gourand, MD
Service de Medecine foetale IPP, Paris, France
This is a 35 year-old primigravida with unremarkable medical history referred at 22 weeks due to a cardiac anomaly. The karyotype was normal. There were no other malformations.
These were the ultrasound findings:
- left ventricle with thickened hyperechoic and severely hypokinetic walls
- mitral valve stenosis
- aortic valve stenosis
The diagnosis of endocardial fibroelastosis was proposed and confirmed by pathology demonstrating the thickened walls and the porcelain-like endocardium.