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Trop Doct 2009;39:116-118
doi:10.1258/td.2008.080281
© 2009 Royal Society of Medicine Press

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Case Series and Case Reports

Endomyocardial fibrosis: an enigmatic cause for a giant left atrium

James Ker MRCP PhD   

University of Pretoria-Physiology, PO Box 24318, Gesina, Pretoria, South Africa, 0031

Correspondence to: James Ker, University of Pretoria-Physiology, PO Box 24318, Gesina, Pretoria, South Africa, 0031 Email: jker{at}wol.co.za

Endomyocardial fibrosis (EMF) was first described in 1948. It is an idiopathic disorder, characterized by the formation of fibrous tissue on the endocardial aspect of one or both ventricles, resulting in a restrictive cardiomyopathy with atrial enlargement. Originally described in Uganda, numerous cases have also been described in the Middle East.


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