Fariba Abbasi
1,2 
, Ata Abbasi
2* , Alireza Rostamzadeh
3 , Seyede Zohre Banihashemi
2 , Aliakbar Rajabi
2 1 Solid Tumor Research Center, Cellular and Molecular Medicine Research Institute, Urmia University of Medical Sciences, Urmia, Iran
2 Department of Pathology, Faculty of Medicine, Urmia University of Medicine, Urmia, Iran
3 Department of Cardiology, Faculty of Medicine, Urmia University of Medical Sciences, Urmia, Iran
Abstract
Churg-Strauss syndrome (CSS), recently named eosinophilic granulomatosis with polyangiitis (EGPA), is a rare form of systemic vasculitis with extravascular granulomas occurring in patients with asthma and tissue eosinophilia. We represent a large left ventricular granuloma, confirmed by histopathologic evaluation, detected as a ventricular mass by echocardiography in a 45-year-old asthmatic male who was admitted for a cerebrovascular accident. Paraclinical and histopathologic findings confirmed the diagnosis of EGPA. As cardiac involvement in patients with EGPA is associated with poor prognosis, routine echocardiographic evaluation of these patients is suggested.