Abstract
In a case of parietal fibroplastic endocarditis (Loeffler's disease), changes can be demonstrated by angiocardiography. After almost one year of marked progress, a second angiocardiography demonstrated a progression of the thrombus masses almost completely filling the right ventricle. At surgery, it was possible to remove the granulation masses and find a layer of dissection so that the fibroplastic endocardial membrane could be removed from the entire inside of the right ventricle and over the tricuspid valves, letting only soft myocardium remain. The patient improved rapidly and the results of surgery were confirmed by postoperative angiocardiography.Loeffler (1936 and 1947) described a disease called endocarditis parietalis fibroplastica. It consisted of a thickening of the parietal endocardium of both ventricles with mural thrombosis but with no changes of the valves. The disease was often accompanied by eosinophilia. Loeffler believed that the disease was related to endocarditis lenta and reported th...
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