Primigravida with unremarkable medical history referred at 30 weeks due to a routine obstetric examination.
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These were the ultrasound findings:
Left ventricle with thickened echogenic endocardium and severely hypokinetic walls.
Mitral valve stenosis.
Aortic valve stenosis.
The endocardial fibroelastosis has been classified as primary and secondary.
In the primary type, there is no structural cardiac abnormality, whereas in the secondary type, a cardiac abnormality is demonstrable.
The most common secoundary causes of endocardial fibroelastosis are aortic stenosis, coarctation of the aorta, anomalous origin of the left coronary artery from the pulmonary trunk, metabolic disorders and viral infections.