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Case Reports
. 2009 Apr;30(3):371-3.
doi: 10.1007/s00246-008-9330-0. Epub 2008 Nov 25.

Coronary blood flow by transthoracic echocardiography in children with endomyocardial fibrosis

Elhadi H Aburawi  1 , Petru Liuba, Erkki Pesonen
Affiliations
Case Reports

Coronary blood flow by transthoracic echocardiography in children with endomyocardial fibrosis

Elhadi H Aburawi et al. Pediatr Cardiol. 2009 Apr.

Abstract

We report herein the coronary flow (CF) pattern determined by transthoracic Doppler echocardiography (TTDE) in two children with biventricular endomyocardial fibrosis (EMF). Endomyocardial biopsy showed various degrees of cardiac fibrosis in both patients as well as signs of chronic inflammation in one of the patients. TTDE showed a significant increase in CF in both the left anterior descending coronary artery and the posterior descending coronary artery compared with age-matched healthy controls. The diastolic flow in patients with EMF appeared to terminate earlier than in controls. The mechanisms and the potential significance of these novel findings are discussed.

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