Loeffler’s Endocarditis due to Idiopathic Hypereosinophilic Syndrome

Abstract

Loeffler's endocarditis, a rare cardiac manifestation of hypereosinophilic syndrome (HES), is characterized by fibrous thickening of the endocardium of both ventricles, leading to apical obliteration and heart failure. We report a case of a 41-year-old male with slowly progressive right-sided heart failure symptoms. The complete blood count showed hypereosinophilia and the echocardiogram revealed that the both ventricles were filled with large amount of thrombus. His symptoms and typical echocardiographic findings markedly improved within several weeks after steroid and anticoagulation therapy.