Yaméogo N V, Diallo O, Kagambèga L J, Seghda A, Sanou F, Millogo G R C, Toguyéni B J Y, Samadoulougou A K, Zabsonré P
Cardiology department, Yalgado Ouedraogo University Hospital, 03 BP 7022, Ouaga 03, Burkina Faso.
Radiology department, Yalgado Ouedraogo University Hospital, Burkina Faso.
Ann Cardiol Angeiol (Paris). 2016 Feb;65(1):54-7. doi: 10.1016/j.ancard.2015.01.008. Epub 2015 Jan 19.
Endomyocardial fibrosis is the most classic and the most known complication of prolonged hypereosinophilic syndrome, whatever the cause. In Burkina Faso, this complication is most frequently encountered in idiopathic form of the syndrome. It commonly involves the apex of the ventricles with possible involvement of atrioventricular valves. The clinical picture is that of restrictive cardiomyopathy with poor prognosis. We report the case of a 22-year-old man with atypical cardiac involvement during idiopathic hypereosinophilic syndrome. Echocardiographic examination showed isolated aortic valve involvement. Left and right ventricular function was preserved. The apex of ventricles was free of lesion. Pulmonary CT-scan showed massive bilateral lung involvement. Treatment consisted of strict control of the eosinophilic process and pulmonary management. The patient suddenly died sudden pulmonary distress one month after first being seen.
