Cor Vasa 2006, 48(7-8):281-284 | DOI: 10.33678/cor.2006.087

Libman-Sacks endocarditis versus infectious endocarditis

Ingrid Porubčinová*, Michal Hulman, Jana Jevčáková
Kardiochirurgické oddelenie, Východoslovenský ústav srdcových a cievnych chorôb a. s., Košice, Slovenská republika

We present a unique case of a 32-year-old female patient with Libman-Sacks mitral valve endocarditis with rapid progres-sion into severe mitral regurgitation and congestive heart failure requiring valve replacement. The need for proper differential diagnosis and optimal timing of surgery is highlighted. The procedure was performed on-pump. The postoperative period was uneventful. Follow-up echocardiography documented proper position of the prosthesis without paravalvular leak.

Keywords: Libman-Sacks; Endocarditis; Mitral regurgitation

Published: July 1, 2006  Show citation

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Porubčinová I, Hulman M, Jevčáková J. Libman-Sacks endocarditis versus infectious endocarditis. Cor Vasa. 2006;48(7-8):281-284. doi: 10.33678/cor.2006.087.
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References

  1. Ryan EW, Foster E. Libman Sacks endocarditis, 2004. Available at: http://www.emedicine.com/MED/topic1295.htm. Accessed April 12, 2006.
  2. Ďuriš I, Hulín I, Bernadič M. Princípy internej medicíny. Prvé vydanie. Bratislava: Slovak Academic Press, 2001:883.
  3. Klener P. Vnitřní lékařství. Druhé vydání. Praha: Galén, 2001:823.
  4. Sasahashi N, Aono N, Kuji T, Shinoka T, Sueshiro M, Tomino T. A case of mitral valve replacement for Libman-Sacks endocarditis. Nippon Kyobu Geka Gakkai Zasshi 1992;40:155-60. Go to PubMed...
  5. Jaime FD, Amador LG, Dolores MR, Javier AC, Marina GM, Manuel CR. Severe mitral valve regurgitation in Libman-Sacks endocarditis. Conservative surgery. Rev Esp Cardiol 2005;58:1118-20. Go to original source...
  6. Galve E, Candell-Riera J, Pigrau C, et al. Prevalence, morphologic types, and evolution of cardiac valvular disease in systemic lupus erythematosus. N Engl J Med 1988;29:817-23. Go to original source... Go to PubMed...
  7. Zhvania M, Gvenetadze T, Didebulidze K. Parallels in clinical, laboratory and instrumental data between systemic lupus erythematosus and infectious endocarditis in children. Georgian Med News 2006;130:80-4.
  8. Leonard WL, Cheng TT, Charles JH. The valvular involvement of lupus: Congestive heart failure can be the presenting feature of systemic lupus erythematosus. Acta Cardiol Sin 2005;21:111-5.
  9. Letranchant L, Ruivard M, Dauphin C, et al. Non infectious endocarditis: retrospective study (6 cases). Rev Med Intern 2005;26:189-95. Go to original source... Go to PubMed...
  10. Rabinstein AA, Giovanelli C, Romano JG, et al. Surgical treatment of nonbacterial thrombotic endocarditis presenting with stroke. J Neurol 2005;252:352-5. Go to original source... Go to PubMed...
  11. Kurdi M, Beanlands DS, Chan KL, et al. Nonbacterial thrombotic endocarditis presenting as aortic stenosis with suspected infective endocarditis: clinicopathological correlation. Can J Cardiol 2004;20:549-52.
  12. Herrera de Pablo P, Esteban Esteban E, Gimenez Soler JV, et al. Nonbacterial thrombotic endocarditis as initial event of lung cancer. Ann Med Interna 2004; 21:495. Go to original source...
  13. Christopher G, Stephenson MD. Valvular involvement in SLE: Case presentation 2005. Available at: http://sangerclinic.com/ppt/Valvular_Involvement_2-10-05.ppt. Accessed April 12, 2006.
  14. Fluture A, Chaudhari S, Frishman WH. Valvular heart disease and systemic lupus erythematosus: therapeutic implications. Heart Dis 2003;5:349-53. Go to original source... Go to PubMed...
  15. Georghiu GP, Shapira Z, Drozd T, et al. Double-valve Libman-Sacks endocarditis: an entity that demands special consideration. J Heart Valve Dis 2003;12: 797-801. Go to PubMed...
  16. Gordon RJ, Weilbaecher D, Davy SM, et al. Valvulitis involving a bioprosthetic valve in a patient with systemic lupus erythematosus. J Am Soc Echocardiogr 1996;9:104-7. Go to original source... Go to PubMed...
  17. Morin AM, Boyer AS, Nataf P, Gandjbakhch I. Mitral insufficiency caused by systemic lupus erythematosus requiring valve replacement: three case reports and a review of the literature. Thorac Cardiovasc Surg 1996; 44:313-6. Go to original source... Go to PubMed...
  18. Dajee H, Hurley EJ, Szarnicki RJ. Cardiac valve replacement in systemic lupus erythematosus. A review. J Thorac Cardiovasc Surg 1983;85:718-26. Go to original source...




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