DIFFUSE ENDOMYOCARDIAL SCLEROSIS

Abstract

In recent years increasing attention has been focused upon a group of cases of congestive cardiac failure that present a distinctive cardiac morphology. There is diffuse thickening of the mural endocardium of one or both ventricles and fibrosis of the myocardium which is largely confined to the inner third of the ventricular wall; the coronary arteries are normal or show minimal arteriosclerosis. Since little is known of the pathogenesis, and the morphology of the lesion is somewhat variable, we have used the general term " diffuse endomyocardial sclerosis ".