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Ann Thorac Surg 1988;46:570-571
© 1988 The Society of Thoracic Surgeons


Articles

Aortic and Mitral Valve Replacement in Idiopathic Hypereosinophilic Syndrome

William G. Hendren, M.D., Ellis L. Jones, M.D.*, Mikel D. Smith, M.D.

Division of Cardio-Thoracic Surgery, Emory University School of Medicine, Atlanta, GA, and the Division of Cardiology, University of Kentucky, Lexington, KY

Accepted for publication May 4, 1988.

* Address reprint requests to Dr. Jones, Division of Cardio-Thoracic Surgery, Emory University Clinic, 1365 Clifton Rd NE, Atlanta, GA 30322

Idiopathic hypereosinophilic syndrome is a rare systemic manifestation of eosinophilia that may cause endocardial fibrosis. Endocardial fibrosis and overlying thrombus typically lead to a restrictive cardiomyopathy and heart failure. Occasionally mitral or tricuspid regurgitation (or both) occurs as a result of the fibrosis and thrombus formation. This report describes a patient with hypereosinophilic syndrome who was seen with an unusually localized form of cardiac involvement that resulted in predominantly aortic and mitral stenosis. This was treated with bivalvular replacement.




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