Aortic valve replacement for Libman-Sacks endocarditis

A 24-year-old man with systemic lupus erythematosus and antiphospholipid syndrome complicated by lupus nephritis presented with acute limb ischaemia secondary to an embolus. Following embolectomy, the patient underwent a transthoracic echocardiogram which revealed a large vegetation on all three cus...

Full description

Saved in:
Bibliographic Details
Published in:BMJ case reports 2016-10, Vol.2016, p.bcr2016215914
Main Authors: Keenan, Jack B, Janardhanan, Rajesh, Larsen, Brandon T, Khalpey, Zain
Format: Article
Language:English
Subjects:
Antiphospholipid Syndrome - complications
Aortic Valve
Aortic Valve Insufficiency - surgery
Calcification
Echocardiography
Endocarditis, Non-Infective - surgery
Heart Valve Prosthesis
Heart Valve Prosthesis Implantation - methods
Humans
Lupus
Lupus Erythematosus, Systemic - complications
Male
Other
Patients
Rare Disease
Thromboembolism
Treatment Outcome
Ultrasonic imaging
USA/Canada
Young Adult
Citations: Items that this one cites
Items that cite this one
Online Access:Get full text
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:A 24-year-old man with systemic lupus erythematosus and antiphospholipid syndrome complicated by lupus nephritis presented with acute limb ischaemia secondary to an embolus. Following embolectomy, the patient underwent a transthoracic echocardiogram which revealed a large vegetation on all three cusps of the aortic valve. The patient was taken for an urgent aortic valve replacement with a mechanical valve. Cultures of one cusp remained sterile. Histopathological examination of the remaining two cusps revealed sterile fibrin-rich thrombotic vegetations characteristic of non-bacterial thrombotic endocarditis.
ISSN:1757-790X
1757-790X
DOI:10.1136/bcr-2016-215914