Rapid normalization of vasculitis-induced left ventricular dysfunction related with multiple cardiac thrombi

J Thromb Thrombolysis. 2015 Oct;40(3):395-9. doi: 10.1007/s11239-014-1163-5.

Abstract

We present a young female patient admitted in the emergency department with pulmonary edema, severely impaired left ventricular function, and simultaneous intracardiac thrombi in left and right ventricle as well as in right atrium, at echocardiography. A magnetic resonance tomography showed excess myocardial tissue edema and diffuse gadolinium enhancement. Blood analysis showed an elevated eosinophils count. The patient showed a rapid normalization of left ventricular function as well as resolution of intracardiac thrombi and myocardial tissue edema 3 months after proper treatment with cyclophosphamide and steroids for Churg-Strauss syndrome.

Publication types

  • Case Reports

MeSH terms

  • Adult
  • Churg-Strauss Syndrome* / complications
  • Churg-Strauss Syndrome* / diagnostic imaging
  • Churg-Strauss Syndrome* / drug therapy
  • Coronary Angiography
  • Cyclophosphamide / administration & dosage*
  • Female
  • Heart Atria / diagnostic imaging
  • Humans
  • Magnetic Resonance Angiography / methods
  • Thrombosis* / diagnostic imaging
  • Thrombosis* / drug therapy
  • Thrombosis* / etiology
  • Ventricular Dysfunction, Left* / diagnostic imaging
  • Ventricular Dysfunction, Left* / drug therapy
  • Ventricular Dysfunction, Left* / ethnology

Substances

  • Cyclophosphamide