Open AccessCardiac involvement in hypereosinophilic syndrome
Author(s) -
Mohamad Jihad Mansour,
Malek Rahal,
Elie Chammas,
Omar Hamoui,
Wael AlJaroudi
Publication year - 2018
Publication title -
annals of pediatric cardiology
Language(s) - Uncategorized
Resource type - Journals
SCImago Journal Rank - 0.292
H-Index - 19
eISSN - 0974-2069
pISSN - 0974-5149
DOI - 10.4103/apc.apc_168_17
Subject(s) - medicine , hypereosinophilic syndrome , cardiology , cardiac magnetic resonance imaging , ventricle , etiology , mitral regurgitation , regurgitation (circulation) , cardiac magnetic resonance , thrombus , transesophageal echocardiogram , radiology , magnetic resonance imaging , eosinophilia
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.