Nonbacterial Thrombotic Endocarditis Presenting with Leg Pain and a Left Atrial Mass Lesion

被引：2

作者：

Abouarab, Ahmed A. ^{[1
]}

Elmously, Adham ^{[1
]}

Leonard, Jeremy R. ^{[1
]}

Arisha, Mohammed J. ^{[2
]}

Gaudino, Mario ^{[1
]}

Narula, Naveent ^{[3
]}

Salemi, Arash ^{[1
]}

机构：

[1] Weill Cornell Med, Dept Cardiothorac Surg, 525 East 68th St,Suite M 404, New York, NY 10065 USA

[2] Univ Alabama Birmingham, Div Cardiovasc Dis, Birmingham, AL 35294 USA

[3] Weill Cornell Med, Dept Clin Pathol & Lab Med, New York, NY 10065 USA

来源：

CARDIOLOGY | 2018年 / 139卷 / 04期

关键词：

Nonbacterial thrombotic endocarditis; Libman-Sacks endocarditis; Marantic endocarditis; MYXOMA;

D O I：

10.1159/000486635

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

Systemic lupus erythematosus (SLE) is a major cause of nonbacterial thrombotic endocarditis (NBTE) associated with intracardiac sterile vegetations. It is rare for vegetations to present as an atrial tumor. This report describes a 48-year-old female with SLE and antiphospholipid syndrome complicated by recurrent thrombosis on anticoagulation. A large left atrial mass lesion was detected on echocardiography during a work-up for leg burning. Infective endocarditis could not be confirmed, and hence left atrial mass lesion was the most likely diagnosis. The patient was managed surgically and the pathology report revealed fibrin networks in a pattern similar to that of thrombosis, characteristic of NBTE. (C) 2018 S. Karger AG, Basel

引用

页码：208 / 211

页数：4

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