Almusawi H, deSilva-deAbreu A, Zerpa T, Mandras SA, Eiswirth C
Abstract
We present 2 relevant cases of eosinophilic myocarditis (EM) in patients that presented with cardio-genic shock, one of whom received a durable ventricular assist device followed by heart transplantation, with the diagnosis of EM being made based on analysis of the exci-sional biopsy obtained during implantation of the ventric-ular assist device. The second patient was initially misdiagnosed with peripartum cardiomyopathy and underwent abortion, to later being diagnosed with EM through endomyocardial biopsy. These two cases high -light the importance of high clinical suspicion for EM based on eosinophilia, comorbidities, and presentation, as well as the value of early diagnosis and therapeutic inter-ventions, including corticosteroids, and advanced heart failure therapies, such as mechanical circulatory support and heart transplantation.
