| Survival after acute necrotizing eosinophilic myocarditis complicating a massive left ventricular mural thrombus: a case report. | |
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MedLine Citation:
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PMID: 17802696 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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An 81-year-old man was referred to our hospital with exertional dyspnea following cold-like symptoms. Electrocardiography revealed ST elevation and positive T wave in leads I, II, aVL, aVF, and V2-V6. The diagnosis was acute myocarditis complicating heart failure. He was conservatively managed. On hospital day 8, brain infarction developed and echocardiography disclosed massive mural thrombus in the left ventricle. Left ventriculotomy was performed on hospital day 21 and histological examination showed inflammatory cell infiltration mainly composed of eosinophils and monocytes, degeneration of myocytes with replacement fibrosis, and fresh fibrin thrombus overlaying the endocardium. These findings were compatible with a diagnosis of acute necrotizing eosinophilic myocarditis(ANEM). He recovered uneventfully without specific therapy. This case suggests that a subtype of ANEM might be self-limiting. |
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Authors:
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Makoto Kontani; Shin-ichiro Takashima; Kiyotaka Okura; Hitoshi Takemori; Koji Maeno; Nobuyoshi Tanaka; Hirokazu Ohashi; Sakon Noriki |
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Publication Detail:
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Type: Case Reports; Journal Article |
Journal Detail:
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Title: Journal of cardiology Volume: 50 ISSN: 0914-5087 ISO Abbreviation: J Cardiol Publication Date: 2007 Aug |
Date Detail:
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Created Date: 2007-09-06 Completed Date: 2007-10-02 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 8804703 Medline TA: J Cardiol Country: Japan |
Other Details:
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Languages: eng Pagination: 127-33 Citation Subset: IM |
Affiliation:
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Department of Internal Medicine, Fukui-ken Saiseikai Hospital, Funabashi 7-1, Wadanaka-cho, Fukui, Fukui 918-8503. shp@fukui.saiseikai.or.jp |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Aged, 80 and over Echocardiography Eosinophilia / complications*, pathology Heart Diseases / etiology*, surgery Heart Ventricles / surgery* Humans Magnetic Resonance Imaging Male Myocarditis / complications*, diagnosis, pathology, surgery Thrombosis / etiology*, surgery Ventricular Dysfunction, Left / etiology |
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