title: Rapid normalization of vasculitis-induced left ventricular dysfunction related with multiple cardiac thrombi.
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.
authors.affiliation: 2nd Cardiology Department, Attikon Hospital, University of Athens, Rimini 1, Haidari, 12462, Athens, Greece, ignoik@otenet.gr.
authors.forename: Ignatios
authors.initials: I
authors.lastname: Ikonomidis
authors.forename: Konstantina
authors.initials: K
authors.lastname: Ntai
authors.forename: John
authors.initials: J
authors.lastname: Parissis
authors.forename: John
authors.initials: J
authors.lastname: Palios
authors.forename: Agathi-Rosa
authors.initials: AR
authors.lastname: Vrettou
authors.forename: Ioannis
authors.initials: I
authors.lastname: Paraskevaidis
authors.forename: John
authors.initials: J
authors.lastname: Lekakis
mesh_terms: D000328:Adult; D015267:Churg-Strauss Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000188:drug therapy; D017023:Coronary Angiography; D003520:Cyclophosphamide / Q000008:administration & dosage*; D005260:Female; D006325:Heart Atria / Q000000981:diagnostic imaging; D006801:Humans; D018810:Magnetic Resonance Angiography / Q000379:methods; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000209:etiology; D018487:Ventricular Dysfunction, Left / Q000000981:diagnostic imaging / Q000188:drug therapy / Q000208:ethnology
chemical_list: D003520:Cyclophosphamide