Presentation
Primigravida with unremarkable medical history referred at 22 weeks due to a routine obstetric examination.
Patient Data
Left ventricle with thickened echogenic endocardium and severely hypokinetic walls
Mitral valve stenosis
Aortic valve stenosis
Pulmonary artery with antegrade flow
Ductus arteriosus with aliasing and retrograde flow in the hypoplastic aortic arch.
Case Discussion
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 secondary 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.
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