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Erschienen in: Journal of General Internal Medicine 8/2016

14.03.2016 | Clinical Practice: Clinical Vignettes

Mitral Valve Perforation in Libman–Sacks Endocarditis: A Heart-Wrenching Case of Lupus

verfasst von: Elizabeth S. Aby, MD, Zachary Rosol, MD, Mengistu A. Simegn, MD

Erschienen in: Journal of General Internal Medicine | Ausgabe 8/2016

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Abstract

Libman–Sacks (LS) endocarditis is one of the most common cardiac manifestations of systemic lupus erythematosus. Rarely, however, it can lead to serious complications, including severe valvular regurgitation or superimposed bacterial endocarditis. We describe the initial diagnostic challenges, clinical course, imaging studies and histopathological findings of a patient who presented with life-threatening lupus complicated by hemoptysis and respiratory failure secondary to a rare complication of LS endocarditis, acute mitral valve perforation. We review the current literature on valve perforation in the setting of LS endocarditis. In conclusion, although the disease is often asymptomatic and hemodynamically insignificant, it can result in serious and potentially fatal complications secondary to valve perforation, which may demand emergency surgical management.
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Metadaten
Titel
Mitral Valve Perforation in Libman–Sacks Endocarditis: A Heart-Wrenching Case of Lupus
verfasst von
Elizabeth S. Aby, MD
Zachary Rosol, MD
Mengistu A. Simegn, MD
Publikationsdatum
14.03.2016
Verlag
Springer US
Erschienen in
Journal of General Internal Medicine / Ausgabe 8/2016
Print ISSN: 0884-8734
Elektronische ISSN: 1525-1497
DOI
https://doi.org/10.1007/s11606-016-3640-3

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