• We recently saw a patient with endomyocardial fibrosis of the left ventricle, with aortic, mitral, and tricuspid valve involvement. The patient resided in Madrid and had never been to Africa. There was no history of filariasis. The patient underwent left ventricle endocardiectomy, aortic and mitral valve replacement with tricuspid valve commissurotomy, and Carpentier annuloplasty. Postoperative follow-up was uneventful. Pathologic and surgical features are discussed herein.
(Arch Intern Med 1982;142:1925-1927)