Abstract

ANGELES-ACUNA, Abish et al. Non-infectious endocarditis of mitral valve concomitant to systemic lupus erythematosus. Med. interna Méx. [online]. 2019, vol.35, n.4, pp.632-637.  Epub Mar 26, 2021. ISSN 0186-4866.  https://doi.org/10.24245/mim.v35i4.2506.

Libman-Sacks endocarditis is a nonbacterial thrombotic endocarditis, characterized by the deposition of sterile platelet thrombi on heart valves, aortic and mitral. It is associated with systemic lupus erythematosus and the clinical manifestation is typically asymptomatic. It is associated with disease duration, lupus activity and antiphospholipid antibodies. The diagnosis is by echocardiography and the definitive diagnosis can be made pathologically by the demonstration of vegetations on autopsy or surgical speci mens. This paper reports the case of a 62-year old patient with asthenia, adynamia and dyspnea of medium efforts; the echocardiography showed vegetations and patient was underwent to surgical treatment with resection of vegetations, diagnosis was confirmed by pathology.

Keywords : Libman-Sacks endocarditis; Systemic lupus erythematosus; Heart valves.

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