Mitral valve replacement for Libman–Sacks endocarditis in a patient with antiphospholipid syndrome secondary to systemic lupus erythematosus

Mitral valve replacement for Libman–Sacks endocarditis in a patient with antiphospholipid syndrome secondary to systemic lupus erythematosus

Abstract Libman–Sacks endocarditis is a relatively rare sterile verrucous vegetative lesion observed in systemic lupus erythematosus (SLE)/antiphospholipid syndrome (APLS) patients. Most patients with this condition are asymptomatic. Here we report a case of a 46-year-old woman with APLS secondary t...

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Veröffentlicht in:Journal of surgical case reports 2018-04, Vol.2018 (4), p.rjy069
Hauptverfasser: Nakasu, Akio, Ishimine, Tohru, Yasumoto, Hiroshi, Tengan, Toshiho, Mototake, Hidemitsu
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container_issue 4
container_start_page rjy069
container_title Journal of surgical case reports
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creator Nakasu, Akio
Ishimine, Tohru
Yasumoto, Hiroshi
Tengan, Toshiho
Mototake, Hidemitsu
description Abstract Libman–Sacks endocarditis is a relatively rare sterile verrucous vegetative lesion observed in systemic lupus erythematosus (SLE)/antiphospholipid syndrome (APLS) patients. Most patients with this condition are asymptomatic. Here we report a case of a 46-year-old woman with APLS secondary to SLE complicated with frequent thromboembolic events due to a mitral valve mass. We performed minimally invasive mitral valve replacement with a mechanical prosthetic valve, and she was successfully discharged 14 days after surgery. Thus, Libman–Sacks endocarditis may be an indication for mitral valve replacement.
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title Mitral valve replacement for Libman–Sacks endocarditis in a patient with antiphospholipid syndrome secondary to systemic lupus erythematosus
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