Echocardiogram of endomyocardial fibrosis

On two-dimensional echocardiography (panel A), typical apical obliteration (0) by a fibrocalcific process renders the left ventricular (LV) cavity very small. The net effect is a severe restrictive cardiomypathy with left atrial (LA) enlargement. The M-mode echocardiogram (panel B) shows the characteristic echoes arising from the apical mass and the very poor mitral valve (MV) opening motion associated with depressed stroke volume.