Loffler endocarditis: a rare cause of acute cardiac failure

Nienke Niemeijer, Paul van Daele, Kadir Caliskan, Frans Oei, OJL Loosveld, NJM van der Meer

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We describe a patient with acute cardiogenic shock due to cardiac involvement in idiopathic hypereosinophilic syndrome (Loffler endocarditis). At the echocardiography, there was a huge mass in the left ventricular cavity, resulting in inflow- and outflow tract obstruction. The posterior leaflet of the mitral valve apparatus was completely embedded in a big (organized) thrombus mass. The patient was treated with high dose corticosteroids, however without effect. Partial remission was achieved after treatment with hydroxycarbamide. He was also treated with anticoagulants and high dose beta-blockers. The patient's condition improved remarkably after correction of the mitral valve insufficiency by a mitral valve bioprosthesis.
Original languageUndefined/Unknown
JournalJournal of Cardiothoracic Surgery
Publication statusPublished - 2012

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