Cor Vasa 2023, 65(4):705-709 | DOI: 10.33678/cor.2023.031

(Loeffler endocarditis (pancarditis) as a rare cause of heart failure)

Patrik Šulc^a, Jiří Pudich^a, Martin Pleva^b, Jan Václavík^a

^a Interní a kardiologická klinika, Fakultní nemocnice Ostrava, Ostrava

^b Kardiologické oddělení, Nemocnice AGEL Třinec-Podlesí, Třinec

We present a case of a 32-year-old patient suffering from Löffler (Loeffler) endocarditis, respectively pancarditis, as a rare cause of heart failure. The patient was diagnosed with eosinophillic granulomatosis with polyangiitis as a secondary hypereosinophillic syndrome. Main diagnostic tool for cardiac damage was cardiac magnetic resonance which showed signs of pancarditis, decreased left ventricular ejection fraction, and apical thrombus. The patient needed treatment of acute heart failure, immunosuppressive and other therapy for multi-organ damage caused by the primary disease. We decided not to perform a cardiac biopsy due to high periprocedural risk of systemic embolism. Initial and long-term therapy was effective, leading to remission, reverse remodeling of the left ventricle and disappearance of the thrombus.

Keywords: Eosinophillic granulomatosis with polyangiitis, Heart failure, Hypereosinophilic syndrome, Loeffler endocarditis

Received: February 7, 2023; Revised: April 4, 2023; Accepted: April 14, 2023; Published: September 1, 2023  Show citation