A case of surgical treatment for Löffler's endomyocarditis

The Japanese Journal of Thoracic and Cardiovascular Surgery : Official Publication of the Japanese Association for Thoracic Surgery = Nihon Kyōbu Geka Gakkai Zasshi
M TamuraH Sato

Abstract

We performed surgical treatment in a case of löffler's endocarditis. The patient was a 32-year-old male whose first symptom was easy fatigability. Blood count showed eosinophilia (eosinocyte count 6720/mm3). Echocardiography and vetriculography showed thickened bilateral endocardium and extension disturbance. We diagnosed this case as löffler's endocarditis and performed surgical treatment because medical treatment was unsuccessful. Removal of the thrombus the bilateral ventricles, endocardectomy and mitral valve replacement were performed. Endocardectomy required close attention because the border between thickened endocardium and normal myocardium was obscure. The patient survived surgery, but postoperative echocardiography (15 days) revealed slightly thickened endocardium of the right ventricle. He died of left heart failure 1 month after surgery. At that time, eosinocyte count was 110,000/mm3.

References

Aug 1, 1979·British Heart Journal·A H SheikhzadehA Senning
Sep 1, 1976·Annals of Surgery·C DubostR Soyer
Jan 1, 1986·Cardiology·K G BalakrishnanM S Valiathan
Dec 1, 1974·The Annals of Thoracic Surgery·D LepleyR M D'Cunha
Apr 1, 1996·Surgical Endoscopy·G KrückelsR Mösges
Mar 1, 1996·Pharmaceutical Research·T N TozerR L Williams

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Citations

Sep 13, 2005·Journal of Cardiac Surgery·Jean-François FuzellierBernard Baehrel

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