Surgical Experience with Thrombotic and Fibrotic Forms of Non-tropical Eosinophilie Endomyocardial Disease

Abstract

Surgical treatment in 8 cases of non-tropical eosinophilic endomyocardial diseases with (4 patients) and without (4 patients) eosinophilia is reported. Follow-up results (1 to 4 years) in the 6 survivors, including hemodynamic re-study, were excellent even in patients operated on in the thrombotic stage (3) or with hypereosinophilia (2), or with dominant right ventricular involvement (3). Two-dimensional echocardiography gave the correct description of the pathologic stage and ventricular involvement in 6 of the 8 cases before catheterization.

Atypical Presentation of Eosinophilic Endomyocardial Disease

“…Surgery is not without risk, however: the mortality rate is 16% to 20% for univentricular disease and 40% for biventricular disease. [36][37][38] Late postoperative death, primarily related to prosthetic valve disorders, occurs in 12% of patients. 38 After resection, endocardial fibrosis usually does not recur.…”