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Loeffler's endocarditis with isolated left ventricular involvement on cardiac MRI
Pramod Kumar1, Sheragaru Hanumanthappa Chandrashekhara1, Sanjeev Kumar1
1Department of Cardiovascular Radiology and Endovascular Interventions, All India Institute of Medical Sciences, New Delhi, Delhi, India.
BMJ Case Reports
|April 22, 2019
Summary
Loeffler endocarditis, a rare heart condition, typically affects the right ventricle. This case highlights isolated left ventricular involvement, emphasizing the importance of cardiac MRI for early diagnosis in hypereosinophilia.
Area of Science:
- Cardiology
- Cardiovascular Imaging
- Hematology
Background:
- Loeffler endocarditis is an uncommon restrictive cardiomyopathy characterized by eosinophilia and endomyocardial fibrosis.
- It predominantly affects the right ventricle, leading to diastolic restriction.
- Early detection and treatment with corticosteroids are crucial for favorable outcomes.
Observation:
- This report details a unique case of Loeffler endocarditis in a young male.
- The patient presented with hypereosinophilia.
- Cardiac Magnetic Resonance (CMR) imaging revealed isolated involvement of the left ventricle, deviating from the typical presentation.
Findings:
- Cardiac MRI is vital for the early identification of Loeffler endocarditis.
- Isolated left ventricular involvement can occur in this condition.
- Hypereosinophilia is a key associated finding.
Implications:
- This case expands the understanding of Loeffler endocarditis presentation.
- It underscores the utility of cardiac MRI in diagnosing atypical cardiac manifestations of hypereosinophilia.
- Prompt diagnosis and management may improve patient prognosis even with unusual patterns of involvement.
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