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Cardiac involvement in hypereosinophilic syndrome


1 Division of Cardiology, Faculty of Medical Sciences, Lebanese University, Hadath; Division of Cardiovascular Medicine, Clemenceau Medical Center, Beirut, Lebanon
2 Division of Cardiovascular Medicine, Clemenceau Medical Center, Beirut, Lebanon

Correspondence Address:
Dr. Wael Aljaroudi
Division of Cardiovascular Medicine, Clemenceau Medical Center, Beirut
Lebanon
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_168_17

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Year : 2018  |  Volume : 11  |  Issue : 2  |  Page : 217-218

 

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A 9-year-old boy with hypereosinophilic syndrome (HES) was referred for cardiac magnetic resonance (CMR) imaging following an abnormal echocardiogram that showed a large mass layered on the inferolateral wall of the left ventricle, causing secondary severe mitral regurgitation. Cardiac involvement in HES usually affects the ventricular apex. In our case, CMR confirmed the presence of a large mural thrombus of 0.9 cm × 4.2 cm. This unusual cardiac involvement in HES was diagnosed in its intermediate thrombotic stage. CMR is very sensitive and specific in staging the disease. It explained the etiology of mitral regurgitation and guided therapy, especially when echocardiography was nonconclusive.






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1 Division of Cardiology, Faculty of Medical Sciences, Lebanese University, Hadath; Division of Cardiovascular Medicine, Clemenceau Medical Center, Beirut, Lebanon
2 Division of Cardiovascular Medicine, Clemenceau Medical Center, Beirut, Lebanon

Correspondence Address:
Dr. Wael Aljaroudi
Division of Cardiovascular Medicine, Clemenceau Medical Center, Beirut
Lebanon
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/apc.APC_168_17

Rights and Permissions

A 9-year-old boy with hypereosinophilic syndrome (HES) was referred for cardiac magnetic resonance (CMR) imaging following an abnormal echocardiogram that showed a large mass layered on the inferolateral wall of the left ventricle, causing secondary severe mitral regurgitation. Cardiac involvement in HES usually affects the ventricular apex. In our case, CMR confirmed the presence of a large mural thrombus of 0.9 cm × 4.2 cm. This unusual cardiac involvement in HES was diagnosed in its intermediate thrombotic stage. CMR is very sensitive and specific in staging the disease. It explained the etiology of mitral regurgitation and guided therapy, especially when echocardiography was nonconclusive.






[FULL TEXT] [PDF]*


        
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