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Journal of Cardiothoracic Surgery
Published in: Journal of Cardiothoracic Surgery 1/2012

Open Access 01-12-2012 | Case report

Löffler endocarditis: a rare cause of acute cardiac failure

Authors: Nicolasine D Niemeijer, Paul LA van Daele, Kadir Caliskan, Frans BS Oei, Olaf JL Loosveld, Nardo JM van der Meer

Published in: Journal of Cardiothoracic Surgery | Issue 1/2012

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Abstract

We describe a patient with acute cardiogenic shock due to cardiac involvement in idiopathic hypereosinophilic syndrome (Löffler 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.
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Metadata
Title
Löffler endocarditis: a rare cause of acute cardiac failure
Authors
Nicolasine D Niemeijer
Paul LA van Daele
Kadir Caliskan
Frans BS Oei
Olaf JL Loosveld
Nardo JM van der Meer
Publication date
01-12-2012
Publisher
BioMed Central
Published in
Journal of Cardiothoracic Surgery / Issue 1/2012
Electronic ISSN: 1749-8090
DOI
https://doi.org/10.1186/1749-8090-7-109

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