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KMID : 0390620150230020100
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Journal of Cardiovascular Ultrasound
2015 Volume.23 No. 2 p.100 ~ p.102
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A Hypereosinophilic Syndrome with Cardiac Involvement from Thrombotic Stage to Fibrotic Stage
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Kim Nam-Kyun
Kim Chang-Yeon
Kim Jae-Hee
Jang Se-Yong
Bae Myung-Hwan
Lee Jang-Hoon
Yang Dong-Heon
Park Hun-Sik
Cho Yong-Keun
Chae Shung-Chull
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Abstract
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Cardiac involvement is a major cause of morbidity and mortality in hypereosinophilic syndrome (HES). It is classified into 3 stages by the degree of eosinophils-mediated heart injury; acute necrotic stage, thrombotic stage, and fibrotic stage. Nonetheless, definitive evidence that each patient passes sequentially through these stages is lacking. We present a case of 48-year-old male patient with dyspnea and peripheral edema who underwent valve replacement surgery due to severe mitral regurgitation. After the valve replacement, HES with cardiac involvement in the thrombotic stage was diagnosed. In the follow-up study, the patient progressed into fibrotic stage of HES.
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KEYWORD
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Hypereosinophilic syndrome , Thrombotic stage , Fibrotic stage , Mitral regurgitation
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