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Severe mitral regurgitation in acute eosinophilic endomyocarditis ...

Source: icvts.ctsnetjournals.org
Topic: Mitral regurgitation
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Sort Desciption: DOI: 10.1016/j.icvts.2004.02.018 2004;3:406-408 Interact CardioVasc Thorac Surg Augustine Tang, Jacek Karski, Jagdish Butany and Tirone David replacement? Severe mitral ...

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Established eosinophilicendomyocardial disease usually causes progressive heart failure from diastolic restriction and/or valvular dysfunction. Surgical treatment typically involves resection ofendoventricular fibrosis and atrioventricular valve replacement. However, little is known of the clinicopathological behaviour andperioperative course of this disease in the early stages. Mitral valve repair seemingly offers an attractive surgical option in this scenario as it avoids prosthetic thrombosisâ arecognizedlate complication of this disease. This was attempted in conjunction with left ventricularthrombectomy in a patient with acute hypereosinophilia and congestive heart failure associated with severe mitral regurgitation and restrictive cardiomyopathy. Although the early clinical and echocardiographic outcome was excellent, the patient deteriorated rapidly after 3 months when identical pathology relapsed in the left heart causing recurrent severe mitral regurgitation and heart failure.

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