This Figure⇓ shows a case of a rare syndrome, Löffler’s endocarditis, in vivo by echocardiography in an apical four-chamber view with biventricular apical thrombi.
The patient, a 50-year-old white man, revealed biventricular thrombi despite oral anticoagulation, an eosinophilia of up to 49%, loss of weight (18 kg), and pleural effusion. Echocardiography showed a mass in both ventricles and a restrictive filling pattern that was confirmed by MR imaging of the heart. After initiation of treatment with prednisolone and hydroxyurea, the patient’s condition improved markedly, the biventricular mass decreased, and pleural effusion disappeared.
The editor of Images in Cardiovascular Medicine is Hugh A. McAllister, Jr, MD, Chief, Department of Pathology, St Luke’s Episcopal Hospital and Texas Heart Institute, and Clinical Professor of Pathology, University of Texas Medical School and Baylor College of Medicine.
Circulation encourages readers to submit cardiovascular images to Dr Hugh A. McAllister, Jr, St Luke’s Episcopal Hospital and Texas Heart Institute, 6720 Bertner Ave, MC1-267, Houston, TX 77030.
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