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      Ventricular remodeling in Loeffler endocarditis: implications for therapeutic decision making.

      European Journal of Heart Failure
      Adult, Decision Making, Disease Progression, Echocardiography, Doppler, Color, methods, Female, Follow-Up Studies, Humans, Hypereosinophilic Syndrome, physiopathology, therapy, ultrasonography, Hypertrophy, Left Ventricular, Male, Middle Aged, Risk Assessment, Sampling Studies, Severity of Illness Index, Ventricular Function, Left, physiology, Ventricular Remodeling

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          Abstract

          Little is known about the morphological and functional evolution of ventricular abnormalities in Loeffler endocarditis. We describe 5 patients, including 3 with long-term echocardiographic follow-up, in whom apical obliteration due to fibro-thrombotic thickening of the endocardium showed favorable patterns of evolution. In one patient there was almost complete resolution of the obliterative process with consequently increased effective ventricular volume. In two patients formation of a flow-passage in the fibrocalcific apical 'floor' between the main medioventricular cavity and the apical chamber, leading to a 'double-chambered' left ventricle was observed. Medical therapy and appropriate anticoagulation, can induce favorable long-term ventricular remodeling in Loeffler endocarditis.

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