Aortic valve replacement for Libman-Sacks endocarditis

Jack B. Keenan, Rajesh Janardhanan, Brandon T. Larsen, Zain I Khalpey

Research output: Contribution to journalArticle

3 Citations (Scopus)

Abstract

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.

Original languageEnglish (US)
Article number215914
JournalBMJ Case Reports
Volume2016
DOIs
StatePublished - 2016

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Endocarditis
Aortic Valve
Non-Infective Endocarditis
Embolectomy
Lupus Nephritis
Antiphospholipid Syndrome
Embolism
Fibrin
Systemic Lupus Erythematosus
Ischemia
Extremities

ASJC Scopus subject areas

  • Medicine(all)

Cite this

Aortic valve replacement for Libman-Sacks endocarditis. / Keenan, Jack B.; Janardhanan, Rajesh; Larsen, Brandon T.; Khalpey, Zain I.

In: BMJ Case Reports, Vol. 2016, 215914, 2016.

Research output: Contribution to journalArticle

Keenan, Jack B. ; Janardhanan, Rajesh ; Larsen, Brandon T. ; Khalpey, Zain I. / Aortic valve replacement for Libman-Sacks endocarditis. In: BMJ Case Reports. 2016 ; Vol. 2016.
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