Löffler endocarditis with severe calcification of the left ventricle in a child

Preoperative images of a 10-year old boy with restrictive cardiomyopathy and bronchiolitis obliterans following hypereosinophilic syndrome with severe calcification of the left ventricle (arrows). (A) Chest X-ray, (B) computed tomography, (C, D) echocardiogram. (E) Operative photo of the explanted heart, after combined heart-lung transplantation, showing bulky intracardiac calcification of the ventricle. AoV: aortic valve; LV: left ventricle; MV: mitral valve.