Aortic valve replacement for Libman-Sacks endocarditis. (4th October 2016)

• Record Type: Journal Article
• Authors: Keenan, Jack B; Janardhanan, Rajesh; Larsen, Brandon T; Khalpey, Zain
• Is Part Of: BMJ case reports. Volume 2016
• Publication Date: 2016-10-04
• Subjects: Medicine -- Case studies -- Periodicals; 610.5
• DOI: 10.1136/bcr-2016-215914
• Languages: English
• ISSNs: 1757-790X

Abstract

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.