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Case Reports: Rare disease
Intracardiac mass revealing a rare form of cardiomyopathy
  1. Andreea Sorina Marcu1,
  2. Ionut Donoiu1,
  3. Ioana Andreea Gheonea2 and
  4. Sebastian Militaru1
  1. 1Department of Cardiology, University of Medicine and Pharmacy of Craiova, Craiova, Romania
  2. 2Department of Medical Imaging, University of Medicine and Pharmacy of Craiova, Craiova, Romania
  1. Correspondence to Dr Ionut Donoiu; ionut.donoiu{at}umfcv.ro

Abstract

We present the case of a woman with a 2-month history of exertional dyspnoea and fatigue in which echocardiography revealed a cavity-obliterating right ventricular mass. Further imaging evaluation using cardiac magnetic resonance showed a thrombotic mass as well as diffuse myocardial oedema and endomyocardial fibrosis (EMF) that involved both ventricles. In the absence of any other cause (including peripheral eosinophilia), the diagnosis of idiopathic EMF was established. This case highlights this uncommon disease in non-tropical areas.

  • Heart failure
  • Venous thromboembolism
  • Radiology (diagnostics)

https://doi.org/10.1136/bcr-2022-249037

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    Footnotes

    • Contributors ASM: acquisition of data for the work; drafting the work, final approval of the version to be published, agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. ID: conception of the work, revising it critically for important intellectual content, final approval of the version to be published, agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. IAG: interpretation of data for the work, drafting the work, final approval of the version to be published, agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved. SM: interpretation of data for the work, revising it critically for important intellectual content, final approval of the version to be published, agreement to be accountable for all aspects of the work in ensuring that questions related to the accuracy or integrity of any part of the work are appropriately investigated and resolved.

    • Funding The authors have not declared a specific grant for this research from any funding agency in the public, commercial or not-for-profit sectors.

    • Case reports provide a valuable learning resource for the scientific community and can indicate areas of interest for future research. They should not be used in isolation to guide treatment choices or public health policy.

    • Competing interests None declared.

    • Provenance and peer review Not commissioned; externally peer reviewed.