Eosinophilic granulomatosis with polyangiitis in a continuous flow left ventricular assist device patient: a case report and review of literature.

Eosinophilic granulomatosis with polyangiitis (EGPA), also known as Churg-Strauss syndrome (CSS), is a rare autoimmune disease with an estimated incidence of approximately 0.11 to 2.66 new cases per 1 million people per year and an overall prevalence of 10.7 to 14 per 1 million adults [1]. No gender predominance or ethnic predisposition has clearly been demonstrated in CSS [1]. Most of the patients are misdiagnosed over a period of time prior to being correctly classified with the disease. Here, we report the complex case of a 64-year-old African American man with advanced heart failure who received a left ventricular assist device (LVAD) and was subsequently diagnosed with EGPA. EGPA is a clinical syndrome that is associated with sequelae that can negatively add to the morbidity associated with LVAD placement.