Mitral valve replacement in idiopathic hypereosinophilic syndrome

Boustany, Charles; Murphy, Gerald W.; Hicks, George L.

doi:10.1016/0003-4975(91)91034-s

Cited by 31 publications

(17 citation statements)

References 11 publications

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“…Mitral surgical experience in IHS is limited. In 1991, Boustany 4 colleted eight cases of patients with IHS who underwent mitral operation. Since this report, six other cases were published.…”

Section: Discussionmentioning

confidence: 99%

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Mitral Valve Replacement in Idiopathic Eosinophilic Endocarditis Without Peripheral Eosinophilia

Fuzellier¹,

Chapoutot

Torossian³

et al. 2005

J Cardiac Surgery

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Idiopathic hypereosinophilic syndrome (IHS) is a rare systemic disease than can cause multiple organ failure by eosinophilic infiltration. Cardiac involvement is characterized by endocardial fibrosis and overlying thrombus leading to restrictive cardiomyopathy and valvular dysfunction. The absence of peripheral eosinophilia does not exclude eosinophilic cardiac involvement. Surgical experience of patients with mitral dysfunction caused by this syndrome is limited and valvular replacement is most often performed. Mechanical valvular replacement has a high incidence of recurrent obstructive thrombosis and replacement by bioprosthesis is recommended despite associated restrictive cardiomyopathy. This report describes a patient who presented mitral insufficiency caused by eosinophilic endocarditis without peripheral eosinophilia who underwent mitral valve replacement.

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Section: Discussionmentioning

confidence: 99%

“…Surgical experience of patients with valvular dysfunction secondary to IHS is limited 4 . Valve replacement is most often performed but the choice between a mechanical or biological prosthesis in this setting poses a difficult problem.…”

Section: Introductionmentioning

confidence: 99%

Mitral Valve Replacement in Idiopathic Eosinophilic Endocarditis Without Peripheral Eosinophilia

Fuzellier¹,

Chapoutot

Torossian³

et al. 2005

J Cardiac Surgery

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“…Surgical experience with valve defects in iHES patients is limited because these defects play a rather minor role in the course and prognosis of the disease when compared to the extent and progression of endomyocardial fibrosis and associated heart failure . In 1991, Boustany presented eight cases of iHES patients who underwent mitral valve surgery (seven valve replacements and one mitral valve annuloplasty) . In 2005, Fuzellier published another summary of mitral valve operations in 14 patients, 12 of whom underwent mitral valve replacement and two mitral valve repair.…”

Section: Discussionmentioning

confidence: 99%

“…9 In 1991, Boustany presented eight cases of iHES patients who underwent mitral valve surgery (seven valve replacements and one mitral valve annuloplasty). 13 In 2005, Fuzellier 11 published another summary of mitral valve operations in 14 patients, 12 of whom underwent mitral valve replacement and two mitral valve repair. It was shown that mechanical valves in iHES patients have a high incidence of obstructive thrombosis, leading to reoperation and high mortality; bioprosthesis was therefore recommended in cases of mitral valve replacement.…”

Section: Discussionmentioning

confidence: 99%

Tricuspid Valve Surgery in Patients With Idiopathic Hypereosinophilic Syndrome

et al. 2014

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“…Occasionally, surgical therapies are needed for cardiovascular complications. Surgical experience of patients with valvular dysfunction secondary to HES is limited [21]. Valve replacement is most often performed but the choice between a mechanical or biological prosthesis in this setting poses a difficult problem.…”

Section: Discussionmentioning

confidence: 99%

Löffler endocarditis: a rare cause of acute cardiac failure

Niemeijer

Daele

Çalışkan

et al. 2012

J Cardiothorac Surg

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We describe a patient with acute cardiogenic shock due to cardiac involvement in idiopathic hypereosinophilic syndrome (Löffler endocarditis). At the echocardiography, there was a huge mass in the left ventricular cavity, resulting in inflow- and outflow tract obstruction. The posterior leaflet of the mitral valve apparatus was completely embedded in a big (organized) thrombus mass. The patient was treated with high dose corticosteroids, however without effect. Partial remission was achieved after treatment with hydroxycarbamide. He was also treated with anticoagulants and high dose beta-blockers. The patient’s condition improved remarkably after correction of the mitral valve insufficiency by a mitral valve bioprosthesis.

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Mitral valve replacement in idiopathic hypereosinophilic syndrome

Cited by 31 publications

References 11 publications

Mitral Valve Replacement in Idiopathic Eosinophilic Endocarditis Without Peripheral Eosinophilia

Mitral Valve Replacement in Idiopathic Eosinophilic Endocarditis Without Peripheral Eosinophilia

Tricuspid Valve Surgery in Patients With Idiopathic Hypereosinophilic Syndrome

Löffler endocarditis: a rare cause of acute cardiac failure

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