Isolated tricuspid valve Libman-Sacks endocarditis in a patient with antiphospholipid antibody syndrome

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Isolated tricuspid valve Libman-Sacks endocarditis in a patient with antiphospholipid antibody syndrome.

Mahajan K, et al. BMJ Case Rep 2017. doi:10.1136/bcr-2017-219217 Description A 30 year-old woman presented with an episode of transient ischaemic attack (TIA). She had a history of four consecutive first trimester abortions over the past 5 years and had no live issues. A physical examination revealed livedo reticularis on her palms and feet (figure 1). On cardiac auscultation, a pansystolic mur...

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Libman-Sacks endocarditis in patients with systemic lupus erythematosus with secondary antiphospholipid syndrome

Background: Libman-Sacks endocarditis (LSE) is characterized by sterile lesions that commonly affect the aortic and mitral heart valves. Antiphospholipid syndrome (APS) and systemic lupus erythematosus (SLE) have been associated with LSE. Cardiac manifestations including LSE could be interrelated with other manifestations and early diagnosis could help in preventing further complications. Case...

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Libman-Sacks endocarditis and cerebral embolization in antiphospholipid syndrome.

In antiphospholipid syndrome (APS), there is a high prevalence of valvular heart disease which leads to increased risk of thrombo-embolic events, in particular, cerebrovascular events. We present a patient with cerebral infarction, previous deep-vein thrombosis, and miscarriages with positive lupus anticoagulant and anticardiolipin antibodies. Echocardiographic examination revealed mitral valve...

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Lupus-Negative Libman-Sacks Endocarditis Complicated by Catastrophic Antiphospholipid Syndrome

Libman-Sacks endocarditis is characterized by sterile and verrucous lesions that predominantly affect the aortic and mitral valves. In most cases, patients do not have significant valvular dysfunction. However, patients with significant valvular dysfunction may present with serious complications such as cardiac failure, arrhythmias, and thromboembolic events. Recently, association of Libman-Sac...

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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 cusps of the aortic valve. The patient was taken for an urgent aortic valve replacement with a mecha...

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ژورنال

عنوان ژورنال: BMJ Case Reports

سال: 2017

ISSN: 1757-790X

DOI: 10.1136/bcr-2017-219217