Double-valve Replacement for Mitral and Aortic Regurgitation in a Patient with Libman-Sacks Endocarditis
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- Hachiya Kenta
- Department of Cardio-Renal Medicine and Hypertension, Nagoya City University Graduate School of Medical Sciences, Japan
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- Wakami Kazuaki
- Department of Cardio-Renal Medicine and Hypertension, Nagoya City University Graduate School of Medical Sciences, Japan
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- Tani Tomomitsu
- Department of Cardio-Renal Medicine and Hypertension, Nagoya City University Graduate School of Medical Sciences, Japan
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- Yoshida Atsuhiro
- Department of Cardio-Renal Medicine and Hypertension, Nagoya City University Graduate School of Medical Sciences, Japan
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- Suzuki Shugo
- Department of Pathology, Nagoya City East Medical Center, Japan
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- Suda Hisao
- Department of Cardiovascular Surgery, Nagoya City East Medical Center, Japan
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- Ohte Nobuyuki
- Department of Cardio-Renal Medicine and Hypertension, Nagoya City University Graduate School of Medical Sciences, Japan
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抄録
A 53-year-old woman with systemic lupus erythematosus and antiphospholipid syndrome presented with central nervous system (CNS) lupus and vegetation of the mitral and aortic valves. Her CNS lupus was relieved with methylprednisolone pulse therapy; however, her mitral regurgitation worsened, and she developed acute decompensated heart failure. The mitral and aortic valves were replaced with mechanical heart valves. Microscopic examination of the excised valves showed no bacterial invasion, and Libman-Sacks (LS) endocarditis of both valves was confirmed. This was a case of LS endocarditis with clear vegetation that spread over the mitral and aortic valves.<br>
収録刊行物
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- Internal Medicine
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Internal Medicine 53 (16), 1769-1773, 2014
一般社団法人 日本内科学会