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A case of surgical treatment for Löffler’s endomyocarditis

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 extention distrubance. We diagnosed this case as löffler’s endocarditis and performed surgical treatment because medical treatment was unsuccesful. 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.

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Tamura, M., Seki, M., Tsubota, M. et al. A case of surgical treatment for Löffler’s endomyocarditis. Jpn J Thorac Caridovasc Surg 46, 455–460 (1998). https://doi.org/10.1007/BF03217771

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Keywords

  • Endocarditis
  • Mitral Valve Replacement
  • PCWP
  • Left Heart Failure
  • Endomyocardial Fibrosis