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Primary Endocardial Fibroelastosis in Two Sisters FREE

S. T. WINTER, M.B.E., M.B., D.C.H.; W. S. MOSES, M.D.; N. J. COHEN, M.D.; J. M. NAFTALIN, M.B., D.P.H.
[+] Author Affiliations

Submitted for publication April 21, 1959.


AMA Am J Dis Child. 1960;99(4):529-533. doi:10.1001/archpedi.1960.02070030531016.
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Endocardial fibroelastosis was first reported by Kreysig, in 1816, under the misnomer of fetal endocarditis.1 New concepts have developed in the understanding of this condition, especially since 1941. This term is now generally accepted as embracing various entities, including adult forms. Andersen and Kelly,2 in 1956, showed that many children with congenital heart disease develop endocardial fibroelastosis, apparently secondary to hemodynamic factors or anoxia in the malformed heart. A single group remains unassociated with other cardiac abnormalities, and this is termed "primary" endocardial fibroelastosis.3 The etiology of primary endocardial fibroelastosis is not certain, but it has been suggested that this lesion is a genetically determined developmental anomaly, possibly due to an enzymatic defect of the myocardium.1 The occurrence of primary endocardial fibroelastosis in siblings is rare. An accumulation of data on such familial cases might support the theory of a familial metabolic disorder, as well as

REFERENCES

Keith, J. D.; Rowe, R. D., and Vlad, P.: Heart Disease in Infancy and Childhood , New York, The Macmillan Company, 1958;.
Andersen, D. H., and Kelly, J.:  Endocardial Fibro-Elastosis: I. Endocardial Fibro-Elastosis Associated with Congenital Malformations of the Heart , Pediatrics 18:513, 1956;.
Kelly, J., and Andersen, D. H.:  Congenital Endocardial Fibro-Elastosis: II. A Clinical and Pathologic Investigation of Those Cases Without Associated Cardiac Malformations Including Report of 2 Familial Instances , Pediatrics 18:539, 1956;.
Ullrich, O.:  Angeborene Herzhypertrophie mit Endokardfibrose bei zwei eineiigen Partnern von männlichen Drillingen , Ztschr. menschl. Vererb.-u. Konstitutionslehre 21:585, 1938;.
Weinberg, T., and Himelfarb, A. J.:  Endocardial Fibro-Elastosis (So-Called Fetal Endocarditis) , Bull. Johns Hopkins Hosp. 72:299, 1943;.
Dordick, J. R.:  Diffuse Endocardial Fibrosis and Cardiac Hypertrophy in Infancy , Am. J. Clin. Path. 21:743, 1951;.
Still, W. J. S.:  Endocardial Fibrosis , Lancet 2:1261, 1954;.
Greaves, J. L.; Wilkins, P. S. W., and Pearson, S.:  Endocardial Fibroelastosis in Identical Twins , Arch. Dis. Childhood 29:447, 1954;.
Rosahn, P. D.:  Endocardial Fibroelastosis: Old and New Concepts , Bull. New York Acad. Med. 31:453, 1955;.
Gross, P.:  Concept of Fetal Endocarditis: General Review with Report of Illustrative Case , Arch. Path. 31:163, 1941;.
Black-Schaffer, B., and Turner, M. E.:  Hyperplastic Infantile Megacardia: A Form of "Idiopathic Hypertrophy" With or Without Endocardial Fibroelastosis and a Comment on Cardiac "Atrophy," Am. J. Path. 34:745, 1958;.
Still, W. J. S., and Boult, E. N.:  Electron Microscopy of Endocardial Fibroelastosis , Arch. Dis. Childhood 32:298, 1957;.
Lambert, E. C., and Vlad, P.:  Primary Endocardial Disease , Pediat. Clin. North America 5: 1057, 1958;.

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Country-Specific Mortality and Growth Failure in Infancy and Yound Children and Association With Material Stature

Use interactive graphics and maps to view and sort country-specific infant and early dhildhood mortality and growth failure data and their association with maternal

References

Keith, J. D.; Rowe, R. D., and Vlad, P.: Heart Disease in Infancy and Childhood , New York, The Macmillan Company, 1958;.
Andersen, D. H., and Kelly, J.:  Endocardial Fibro-Elastosis: I. Endocardial Fibro-Elastosis Associated with Congenital Malformations of the Heart , Pediatrics 18:513, 1956;.
Kelly, J., and Andersen, D. H.:  Congenital Endocardial Fibro-Elastosis: II. A Clinical and Pathologic Investigation of Those Cases Without Associated Cardiac Malformations Including Report of 2 Familial Instances , Pediatrics 18:539, 1956;.
Ullrich, O.:  Angeborene Herzhypertrophie mit Endokardfibrose bei zwei eineiigen Partnern von männlichen Drillingen , Ztschr. menschl. Vererb.-u. Konstitutionslehre 21:585, 1938;.
Weinberg, T., and Himelfarb, A. J.:  Endocardial Fibro-Elastosis (So-Called Fetal Endocarditis) , Bull. Johns Hopkins Hosp. 72:299, 1943;.
Dordick, J. R.:  Diffuse Endocardial Fibrosis and Cardiac Hypertrophy in Infancy , Am. J. Clin. Path. 21:743, 1951;.
Still, W. J. S.:  Endocardial Fibrosis , Lancet 2:1261, 1954;.
Greaves, J. L.; Wilkins, P. S. W., and Pearson, S.:  Endocardial Fibroelastosis in Identical Twins , Arch. Dis. Childhood 29:447, 1954;.
Rosahn, P. D.:  Endocardial Fibroelastosis: Old and New Concepts , Bull. New York Acad. Med. 31:453, 1955;.
Gross, P.:  Concept of Fetal Endocarditis: General Review with Report of Illustrative Case , Arch. Path. 31:163, 1941;.
Black-Schaffer, B., and Turner, M. E.:  Hyperplastic Infantile Megacardia: A Form of "Idiopathic Hypertrophy" With or Without Endocardial Fibroelastosis and a Comment on Cardiac "Atrophy," Am. J. Path. 34:745, 1958;.
Still, W. J. S., and Boult, E. N.:  Electron Microscopy of Endocardial Fibroelastosis , Arch. Dis. Childhood 32:298, 1957;.
Lambert, E. C., and Vlad, P.:  Primary Endocardial Disease , Pediat. Clin. North America 5: 1057, 1958;.

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