title: Atypical Presentation of Intracardiac Floating Thrombi in Hypereosinophilic Syndrome Complicated With Stroke and Systemic Embolization: A Case Report.
abstract: Hypereosinophilic syndrome (HES) describes a disorder characterized by persistent peripheral blood eosinophilia with evidence of multiple target organs damage caused by eosinophilia. HES most commonly involves the heart, and cardiac involvement typically presents in the form of endomyocarditis or myocarditis with apical mural thrombus formation.We present a case with atypical cardiac presentation with massive intracardiac fragile thrombi, causing peripheral emboli and strokes.HES can present as floating thrombi with thin attachment to the left ventricle, and clinicians should also be vigilant of thromboembolic complications and initiate early therapy to prevent or reduce the potential complications of HES.
authors.affiliation: From the Division of Interventional Cardiology, Cardiovascular Center, Taichung Veterans General Hospital, Taichung, Taiwan, ROC (C-HL, W-WL); Department of Anesthesiology, Taichung Veterans General Hospital, Taichung, Taiwan, ROC (S-LC); Division of Cardiovascular Disease, Cheng-Hsin General Hospital, Taipei, Taiwan, ROC (M-CH); Department of Medical Imaging and Intervention, Chang Gung Memorial Hospital, Linkou and Chang Gung University, Taoyuan, Taiwan, ROC (Y-HJ); Healthy Aging Research Center, Chang Gung University, Taiwan, ROC (Y-HJ); Division of Cardiology, Department of Internal Medicine, Shin Kong Wu Ho-Su Memorial Hospital, Taipei, Taiwan, ROC (T-LW); and Institute of Emergency and Critical Care Medicine, National Yang-Ming University, Taipei, Taiwan, ROC (C-HL, S-LC, T-LW).
authors.forename: Chih-Hung
authors.initials: CH
authors.lastname: Lai
authors.forename: Szu-Ling
authors.initials: SL
authors.lastname: Chang
authors.forename: Wei-Wen
authors.initials: WW
authors.lastname: Lin
authors.forename: Ming-Chon
authors.initials: MC
authors.lastname: Hsiung
authors.forename: Yu-Hsiang
authors.initials: YH
authors.lastname: Juan
authors.forename: Tzu-Lin
authors.initials: TL
authors.lastname: Wang
mesh_terms: D017809:Fatal Outcome; D006801:Humans; D017681:Hypereosinophilic Syndrome / Q000150:complications* / Q000175:diagnosis; D008297:Male; D008875:Middle Aged; D020521:Stroke / Q000209:etiology*; D013923:Thromboembolism / Q000209:etiology*