Abstract
Hypereosinophilic vasculitis, a variant of eosinophilic granulomatosis with polyangiitis, affects small- and medium-sized arteries. Cardiac involvement may manifest as heart failure, pericarditis, or valvular insufficiency (1, 2). Eosinophilia affects the endothelium and microvasculature, leading to thrombosis and fibrosis involving the endocardium and valves (3). Coronary artery aneurysms due to hypereosinophilia are extremely rare and have been reported sparsely in the literature (4, 5). Here, we describe a patient with hypereosinophilic vasculitis and widespread coronary artery aneurysms.
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