Severe mitral stenosis as the first manifestation of systemic lupus erythematosus in a 20-year-old woman: the value of magnetic resonance imaging in the diagnosis of Libman-Sacks endocarditis

被引：7

作者：

Gouya, Herve ^{[1
,2
]}

Cabanes, Laure ^{[2
]}

Mouthon, Luc ^{[2
,3
]}

Pavie, Alain ^{[4
,5
]}

Legmann, Paul ^{[1
,2
]}

Vignaux, Olivier ^{[1
,2
]}

机构：

[1] Hop Cochin, Serv Radiol A, F-75014 Paris, France

[2] Paris Descartes Univ, Paris, France

[3] INSERM, U1060, Paris, France

[4] Hop La Pitie Salpetriere, Paris, France

[5] Univ Paris 06, Paris, France

来源：

INTERNATIONAL JOURNAL OF CARDIOVASCULAR IMAGING | 2014年 / 30卷 / 05期

关键词：

Systemic lupus erythematosus; Magnetic resonance imaging; Libman-Sacks endocarditis; Mitral stenosis;

D O I：

10.1007/s10554-014-0418-8

中图分类号：

R5 [内科学];

学科分类号：

1002 ; 100201 ;

摘要：

We report a case of severe mitral stenosis caused by Libman-Sacks endocarditis, as an initial manifestation of systemic lupus erythematosus (SLE) in a 20-year-old woman. Cardiac magnetic resonance imaging (MRI) demonstrated a thickening of the mitral valve with basal endocardial thickening exhibiting defect on first-pass perfusion short-axis acquisition and delayed enhancement in keeping with extensive fibrous endocarditis. The patient underwent successful mechanical mitral valve replacement. This case illustrates that MRI is useful in diagnosing this recognised but uncommon cardiac complication of SLE and excluding differential diagnosis such as valve tumour and infective endocarditis with perivalvular abscesses.

引用

页码：959 / 960

页数：2