A case of biventricular apical obliteration

J Cardiovasc Med (Hagerstown). 2010 Apr;11(4):322-4. doi: 10.2459/JCM.0b013e328330c5ac.

Abstract

We present a case of Loëffler endocarditis in a 45-year-old man. This syndrome is characterized by unexplained prolonged and marked hypereosinophilia (>1500 eosinophils/mm), absence of a primary cause of hypereosinophilia and evidence of eosinophil-mediated organ damage. Detection of cardiac damage is based on electrocardiography, echocardiography, cardiac MRI and endomyocardial biopsy. Two-dimensional echocardiography is an essential tool for diagnosis. In this case, a transthoracic echocardiogram revealed a complete obliteration of the apex of both ventricles associated with a restrictive left ventricular filling pattern.

Publication types

  • Case Reports

MeSH terms

  • Echocardiography
  • Heart Ventricles / diagnostic imaging
  • Heart Ventricles / pathology*
  • Humans
  • Hypereosinophilic Syndrome / diagnostic imaging
  • Hypereosinophilic Syndrome / pathology*
  • Male
  • Middle Aged