Cardiac involvement in hypereosinophilic syndrome

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 i...

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Main Authors: Mohamad Jihad Mansour, Malek Rahal, Elie Chammas, Omar Hamoui, Wael Aljaroudi
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2018-01-01
Series:Annals of Pediatric Cardiology
Subjects:
Online Access:http://www.annalspc.com/article.asp?issn=0974-2069;year=2018;volume=11;issue=2;spage=217;epage=218;aulast=Mansour
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author Mohamad Jihad Mansour
Malek Rahal
Elie Chammas
Omar Hamoui
Wael Aljaroudi
author_facet Mohamad Jihad Mansour
Malek Rahal
Elie Chammas
Omar Hamoui
Wael Aljaroudi
author_sort Mohamad Jihad Mansour
collection DOAJ
description 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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spelling doaj.art-72a690541c144da99f46f76491c082352022-12-22T02:02:49ZengWolters Kluwer Medknow PublicationsAnnals of Pediatric Cardiology0974-20692018-01-0111221721810.4103/apc.APC_168_17Cardiac involvement in hypereosinophilic syndromeMohamad Jihad MansourMalek RahalElie ChammasOmar HamouiWael AljaroudiA 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.http://www.annalspc.com/article.asp?issn=0974-2069;year=2018;volume=11;issue=2;spage=217;epage=218;aulast=MansourCardiac involvementcardiac magnetic resonancehypereosinophilic syndrome
spellingShingle Mohamad Jihad Mansour
Malek Rahal
Elie Chammas
Omar Hamoui
Wael Aljaroudi
Cardiac involvement in hypereosinophilic syndrome
Annals of Pediatric Cardiology
Cardiac involvement
cardiac magnetic resonance
hypereosinophilic syndrome
title Cardiac involvement in hypereosinophilic syndrome
title_full Cardiac involvement in hypereosinophilic syndrome
title_fullStr Cardiac involvement in hypereosinophilic syndrome
title_full_unstemmed Cardiac involvement in hypereosinophilic syndrome
title_short Cardiac involvement in hypereosinophilic syndrome
title_sort cardiac involvement in hypereosinophilic syndrome
topic Cardiac involvement
cardiac magnetic resonance
hypereosinophilic syndrome
url http://www.annalspc.com/article.asp?issn=0974-2069;year=2018;volume=11;issue=2;spage=217;epage=218;aulast=Mansour
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AT malekrahal cardiacinvolvementinhypereosinophilicsyndrome
AT eliechammas cardiacinvolvementinhypereosinophilicsyndrome
AT omarhamoui cardiacinvolvementinhypereosinophilicsyndrome
AT waelaljaroudi cardiacinvolvementinhypereosinophilicsyndrome