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A case of biventricular apical obliteration

Zito, Concetta; Di Bella, Gianluca; Mileto, Giuseppe; Lentini, Salvatore; Dattilo, Giuseppe; Carerj, Scipione

Journal of Cardiovascular Medicine: April 2010 - Volume 11 - Issue 4 - p 322–324
doi: 10.2459/JCM.0b013e328330c5ac
Images in cardiovascular medicines

We present a case of Loëffler endocarditis in a 45-year-old man. This syndrome is characterized by unexplained prolonged and marked hypereosinophilia (>1500 eosinophils/mm3), absence of a primary cause of hypereosinophilia and evidence of eosinophil-mediated organ damage. Detection of cardiac damage is based on electrocardiography, echocardiography, cardiac MRI and endomyocardial biopsy. Two-dimensional echocardiography is an essential tool for diagnosis. In this case, a transthoracic echocardiogram revealed a complete obliteration of the apex of both ventricles associated with a restrictive left ventricular filling pattern.

Dipartimento Clinico-Sperimentale di Medicina e Farmacologia. Policlinico ‘G. Martino’ Università di Messina, Italy

Received 8 April, 2009

Revised 4 June, 2009

Accepted 13 July, 2009

Correspondence to Concetta Zito, Cardiologia, Policlinico ‘G. Martino’, Via Consolare Valeria, 98100 Messina, Italy E-mail:

© 2010 Italian Federation of Cardiology. All rights reserved.