Hypereosinophilic thrombus causing aortic stenosis and myocardial infarction

Ann Thorac Surg. 2003 Nov;76(5):1725-6. doi: 10.1016/s0003-4975(03)00689-1.

Abstract

Hypereosinophilia can cause severe endomyocardial fibrosis with subsequent restrictive cardiac disease and endocardial lesions. We present a case of a 37-year-old man with known hypereosinophilia, followed with yearly echocardiograms, who presented acutely with myocardial infarction and aortic outflow tract obstruction. At surgery, a broad based eosinophilic thrombus was found that had obstructed the aortic outflow tract. The possibility of the rapid emergence of such obstructive thrombotic lesions in hypereosinophilic syndromes warrants very close echocardiographic surveillance.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Aortic Valve Stenosis / complications
  • Aortic Valve Stenosis / diagnosis
  • Aortic Valve Stenosis / surgery*
  • Cardiac Surgical Procedures / methods
  • Coronary Angiography
  • Echocardiography, Transesophageal
  • Follow-Up Studies
  • Humans
  • Hypereosinophilic Syndrome / complications*
  • Hypereosinophilic Syndrome / diagnosis
  • Male
  • Myocardial Infarction / complications
  • Myocardial Infarction / diagnosis
  • Myocardial Infarction / surgery*
  • Risk Assessment
  • Severity of Illness Index
  • Thrombosis / complications
  • Thrombosis / diagnosis
  • Thrombosis / surgery*
  • Tomography, X-Ray Computed
  • Treatment Outcome