title: Isolated aortic valvular and pulmonary involvement during essential eosinophilia.
abstract: 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.
authors: Cardiology department, Yalgado Ouedraogo University Hospital, 03 BP 7022, Ouaga 03, Burkina Faso. Electronic address: drnova@hotmail.fr.
authors: N V
authors: NV
authors: Yaméogo
authors: Radiology department, Yalgado Ouedraogo University Hospital, Burkina Faso.
authors: O
authors: O
authors: Diallo
authors: Cardiology department, Yalgado Ouedraogo University Hospital, 03 BP 7022, Ouaga 03, Burkina Faso.
authors: L J
authors: LJ
authors: Kagambèga
authors: Cardiology department, Yalgado Ouedraogo University Hospital, 03 BP 7022, Ouaga 03, Burkina Faso.
authors: A
authors: A
authors: Seghda
authors: Internal medicine department, Yalgado Ouedraogo University Hospital, Burkina Faso.
authors: F
authors: F
authors: Sanou
authors: Cardiology department, Yalgado Ouedraogo University Hospital, 03 BP 7022, Ouaga 03, Burkina Faso.
authors: G R C
authors: GR
authors: Millogo
authors: Cardiology department, Yalgado Ouedraogo University Hospital, 03 BP 7022, Ouaga 03, Burkina Faso.
authors: B J Y
authors: BJ
authors: Toguyéni
authors: Cardiology department, Yalgado Ouedraogo University Hospital, 03 BP 7022, Ouaga 03, Burkina Faso.
authors: A K
authors: AK
authors: Samadoulougou
authors: Cardiology department, Yalgado Ouedraogo University Hospital, 03 BP 7022, Ouaga 03, Burkina Faso.
authors: P
authors: P
authors: Zabsonré
mesh_terms: D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology*; D002050:Burkina Faso; D004452:Echocardiography; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000150:complications*; D006976:Hypertension, Pulmonary / Q000209:etiology*; D008297:Male; D018487:Ventricular Dysfunction, Left / Q000209:etiology*; D055815:Young Adult
keywords: Aortic valve; Hypereosinophilic syndrome; Prognosis; Pronostic; Syndrome hyperéosinophilique; Valves aortiques