Nonbacterial thrombotic endocarditis and gastric carcinoma

被引:2
作者
Dupeux, S. [1 ]
Bricalre, L. [1 ]
Bosquet, A. [1 ]
Pouchot, J. [1 ]
Capron, L. [1 ]
机构
[1] Hop Europeen Georges Pompidou, Serv Med Interne, F-75015 Paris, France
来源
REVUE DE MEDECINE INTERNE | 2008年 / 29卷 / 08期
关键词
nonbacterial thrombotic endocarditis; thrombosis; embolism; cancer;
D O I
10.1016/j.revmed.2007.12.023
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
We report a 74-year-old woman with acute heart failure and recurrent ischemic strokes as the presenting features of a nonbacterial thrombotic endocarditis complicating a gastric adenocarcinoma. The treatment only allowed a few months remission. Diagnosis of nonbacterial thrombotic endocarditis is rarely obtained while the patient is alive. Coagulation abnormalities due to the tumoral process are responsible of the valvular thrombotic process. Anticoagulation with heparin is recommended. Valvular surgery remains controversial. (C) 2008 Elsevier Masson SAS. Tous droits reserves.
引用
收藏
页码:673 / 675
页数:3
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