{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,5,13]],"date-time":"2025-05-13T21:58:54Z","timestamp":1747173534020,"version":"3.40.5"},"reference-count":63,"publisher":"Cambridge University Press (CUP)","issue":"7","license":[{"start":{"date-parts":[[2021,9,6]],"date-time":"2021-09-06T00:00:00Z","timestamp":1630886400000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/www.cambridge.org\/core\/terms"}],"content-domain":{"domain":["cambridge.org"],"crossmark-restriction":true},"short-container-title":["Cardiol Young"],"published-print":{"date-parts":[[2022,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Heart failure due to dilated cardiomyopathy is a major indication for paediatric cardiac transplantation. Endocardial fibroelastosis is a recognised pathological finding of unknown prognostic significance in paediatric dilated cardiomyopathy. To evaluate the nature of the association between left ventricular endocardial fibroelastosis and paediatric dilated cardiomyopathy, we reviewed surgical pathology reports of dilated cardiomyopathy explants (1986\u20132016) in order to characterise the pathological findings and to compare and contrast their frequency among four age groups: less than 1 year; 1\u20135 years; 6\u201310 years; and greater than 11 years. The 89 explants (47 males and 42 females) were all characterised by increased weight and left ventricular chamber dilatation without increased wall thickness. Ninety-five per cent of the specimens in the two youngest subsets had left ventricular endocardial fibroelastosis. Compared to the oldest age group, recipients aged 1\u20135 years had a 6-fold increase and those younger than 1 year a 19-fold increase in the odds of observing left ventricular endocardial fibroelastosis. Explants with and without endocardial fibroelastosis were otherwise phenotypically similar. In paediatric dilated cardiomyopathy endocardial fibroelastosis is a very common pathological finding, especially in infants and young children. We propose that the descriptive, clinico-pathological designation \u201cDilated Cardiomyopathy with Endocardial Fibroelastosis\u201d should be adopted to facilitate future investigation into the potential prognostic\/therapeutic significance of left ventricular endocardial fibroelastosis.<\/jats:p>","DOI":"10.1017\/s1047951121003590","type":"journal-article","created":{"date-parts":[[2021,9,6]],"date-time":"2021-09-06T19:12:25Z","timestamp":1630955545000},"page":"1041-1047","update-policy":"https:\/\/doi.org\/10.1017\/policypage","source":"Crossref","is-referenced-by-count":5,"title":["Paediatric dilated cardiomyopathy with and without endocardial fibroelastosis \u2013 a pathological analysis of 89 explants"],"prefix":"10.1017","volume":"32","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-5136-7000","authenticated-orcid":false,"given":"Jeanette A.","family":"Reyes","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Anne I.","family":"Dipchand","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"David A.","family":"Chiasson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"56","published-online":{"date-parts":[[2021,9,6]]},"reference":[{"key":"S1047951121003590_ref37","first-page":"127p","volume-title":"Height and weight in human beings: autopsy report","author":"Kayser","year":"1987"},{"key":"S1047951121003590_ref57","doi-asserted-by":"publisher","DOI":"10.1152\/physrev.00017.2002"},{"key":"S1047951121003590_ref62","doi-asserted-by":"publisher","DOI":"10.2174\/1573403X12666151119164525"},{"key":"S1047951121003590_ref14","doi-asserted-by":"publisher","DOI":"10.1016\/j.hfc.2010.05.010"},{"key":"S1047951121003590_ref22","doi-asserted-by":"publisher","DOI":"10.1016\/j.carpath.2013.02.003"},{"key":"S1047951121003590_ref10","doi-asserted-by":"publisher","DOI":"10.1016\/S1053-2498(01)00334-5"},{"key":"S1047951121003590_ref23","doi-asserted-by":"publisher","DOI":"10.1016\/0002-9149(88)90981-2"},{"key":"S1047951121003590_ref4","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCRESAHA.116.309386"},{"key":"S1047951121003590_ref59","doi-asserted-by":"publisher","DOI":"10.1161\/CIRCULATIONAHA.107.702795"},{"key":"S1047951121003590_ref40","first-page":"579","article-title":"Endocardial fibroelastosis","volume":"82","author":"Hill","year":"1951","journal-title":"AMA Am J Dis Child"},{"key":"S1047951121003590_ref47","first-page":"227","volume-title":"Ann AnatPathol (Paris)","volume":"7","author":"Fruhling","year":"1962"},{"key":"S1047951121003590_ref38","doi-asserted-by":"publisher","DOI":"10.1016\/S0025-6196(12)64945-3"},{"key":"S1047951121003590_ref30","doi-asserted-by":"publisher","DOI":"10.1016\/0735-1097(88)90179-9"},{"key":"S1047951121003590_ref56","doi-asserted-by":"publisher","DOI":"10.1161\/CIR.0000000000000682"},{"key":"S1047951121003590_ref21","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198808000-00019"},{"key":"S1047951121003590_ref28","doi-asserted-by":"publisher","DOI":"10.1542\/peds.101.3.369"},{"key":"S1047951121003590_ref36","first-page":"464","article-title":"Hearts of infants and children. 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