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The Annals of Thoracic Surgery, Vol 46, 570-571, Copyright © 1988 by The Society of Thoracic Surgeons

ARTICLES

Aortic and mitral valve replacement in idiopathic hypereosinophilic syndrome

WG Hendren, EL Jones and MD Smith
Division of Cardio-Thoracic Surgery, Emory University School of Medicine, 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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