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Irreversible coronary aneurysm presenting as acute coronary syndrome in a child with hypereosinophilic syndrome: a case report

Published online by Cambridge University Press:  25 January 2021

Tahmineh Tahouri
Affiliation:
Department of Pediatric Cardiology, Iran University of Medical Science, Tehran, Iran
Mohammad Mahdavi*
Affiliation:
Department of Pediatric Cardiology, Iran University of Medical Science, Tehran, Iran
Kiara Rezaei-Kalantari
Affiliation:
Department of Pediatric Cardiology, Iran University of Medical Science, Tehran, Iran
Hossein Shahzadi
Affiliation:
Department of Pediatric Cardiology, Iran University of Medical Science, Tehran, Iran
*
Author for correspondence: Dr M. Mahdavi, Department of Pediatric Cardiology, Rajaie Cardiovascular Medical and Research Center, Vali-asr Ave, Niyayesh Blvd, Tehran199691-1151, Iran. E-mail: md.niaki.rhc@gmail.com

Abstract

Hypereosinophilic syndrome is defined as persistent eosinophilia in the blood for more than 6 months, without any identifiable cause and with end-organ involvement evidence. Cardiac manifestations of HES include heart failure due to restrictive cardiomyopathy, arrhythmia, intraventricular thrombosis, and coronary artery involvement occurs frequently. In rare instances, coronary ectasia, aneurysms, or dissection can occur and cause morbidity and mortality in these patients.

A coronary aneurysm occurs rarely in adult patients with HES but to our knowledge, this is the first report of this association in a 14-year-old boy who was presented to us as coronary aneurysm due to hypereosinophilic syndrome.

Type
Brief Report
Copyright
© The Author(s), 2021. Published by Cambridge University Press

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References

Ogbogu, PU, Rosing, DR, Horne, MK. III Cardiovascular manifestations of hypereosinophilic syndromes. Immunol Allergy Clin North Am 2007; 27: 457475.CrossRefGoogle ScholarPubMed
Robinowitz, M, Virmani, R, McAllister, HA. Jr Spontaneous coronary artery dissection and eosinophilic inflammation: a cause and effect relationship? Am J Med 1982; 72: 923928.CrossRefGoogle ScholarPubMed
Demir, M, Keceoglu, S, Melek, M. The relationship between plasma eosinophil count and coronary artery ectasia. Cardiol Res 2013; 4: 159.Google ScholarPubMed
Mankad, R, Bonnichsen, C, Mankad, S. Hypereosinophilic syndrome: cardiac diagnosis and management. Heart 2016; 102: 100106.CrossRefGoogle ScholarPubMed
Al Ali, AM, Straatman, LP, Allard, MF, Ignaszewski, AP. Eosinophilic myocarditis: case series and review of literature. Can J Cardiol 2006; 22: 12331237.10.1016/S0828-282X(06)70965-5CrossRefGoogle ScholarPubMed
Carreon, CK, Esposito, MJ. Eosinophilic coronary monoarteritis. Arch Pathol Lab Med 2014; 138: 979981.CrossRefGoogle ScholarPubMed
Patanè, S, Marte, F, Sturiale, M, Grassi, R, Patanè, F. Significant coronary artery disease associated with coronary artery aneurysm and elevation of prostate-specific antigen during acute myocardial infarction. Int J Cardiol 2010; 141: e39e42.CrossRefGoogle ScholarPubMed