Massive calcification of the tricuspid valve papillary muscles in right ventricular endomyocardial fibrosis

Right-sided forms account for one-fourth of endomyocardial fibrosis cases in central Africa. A 50-year-old female patient with endomyocardial fibrosis presented with unusual calcifications of the right ventricular endocardium that embedded the tricuspid valve papillary muscles. Bioprosthetic tricuspid valve replacement together with right ventricular endocardectomy was performed with a good clinical outcome. 2011 Published by European Association for Cardio-Thoracic Surgery. All rights reserved.