1/11. Neoplastic thrombotic endocarditis of the tricuspid valve in a patient with carcinoma of the thyroid. Report of a case.A rare case of neoplastic thrombotic endocarditis of the tricuspid valve in a patient with poorly differentiated follicular carcinoma of the thyroid is described. Although some previous reports documented extension of the follicular thyroid carcinoma into the great veins of the neck to the right cardiac chambers, this seems to be the first report of a neoplastic thrombotic lesion of the tricuspid valve in a patient with thyroid carcinoma. In our institute, where about 2,500 autopsies are performed yearly, and about 600 valvular lesions are discovered, such a lesion was never detected. In patients with carcinoma, a neoplastic thrombotic endocarditis may be a source of microembolic neoplastic spread leading to a possible pulmonary colonisation.- - - - - - - - - - ranking = 1keywords = thrombotic endocarditis, endocarditis (Clic here for more details about this article) |
2/11. Libman-Sacks endocarditis in a pregnant woman with acute respiratory distress syndrome.BACKGROUND: Sterile fibrinous vegetations on the mitral valve (Libman-Sacks endocarditis) might be found in one-third of patients with antiphospholipid antibodies. Usually of minor hemodynamic significance, these vegetations might complicate acute respiratory distress syndrome in pregnancy. CASE: Despite delivery and aggressive medical therapy, a 17-year-old primigravida with pyelonephritis and acute respiratory distress syndrome suffered rapid decompensation. echocardiography showed mitral valve vegetations with severe regurgitation. blood cultures were negative, but antinuclear antibody test and lupus anticoagulant were positive. The patient died of massive cerebral infarction and brainstem herniation. autopsy found a patent foramen ovale and Libman-Sacks endocarditis. CONCLUSION: With rapid decompensation of acute respiratory distress syndrome in pregnancy, despite aggressive medical therapy, complicating processes must be considered, especially with antiphospholipid antibodies, which can be associated with sterile heart vegetations and subsequent fatal thromboembolism.- - - - - - - - - - ranking = 0.011890730200622keywords = endocarditis (Clic here for more details about this article) |
3/11. Peripheral thromboembolism associated with malassezia furfur sepsis.malassezia furfur fungemia can cause sepsis in low birth weight neonates receiving parenteral lipids through central intravenous catheters. Its presentation has varied from nonspecific signs and symptoms to pulmonary vasculitis and endocarditis. We report the case of a premature infant who developed peripheral thromboembolic phenomena without evidence of endocarditis associated with M. furfur fungemia, an association not previously described.- - - - - - - - - - ranking = 0.0039635767335407keywords = endocarditis (Clic here for more details about this article) |
4/11. Two patients with arterial thromboembolism among 311 patients with adenocarcinoma of the pancreas.PURPOSE: To examine the prevalence and characteristics of arterial thromboembolism in patients with adenocarcinoma of the pancreas. methods: Retrospective review of charts of all patients with cancer of the pancreas diagnosed and followed at a regional teaching hospital over a decade. RESULTS: In total, 320 patients were diagnosed and 311 were available for evaluation. Two patients with arterial thromboembolism were identified (0.65%) and studied. Both had extensive metastatic disease on diagnosis and, soon after, developed an acute arterial occlusion of the iliac and femoral arteries, with no identifiable embolic source (case 1) or acute intestinal infarction due to mesenteric and multiple other embolic arterial occlusions associated with nonbacterial thrombotic endocarditis (NBTE) of the mitral valve (case 2). Both cases had laboratory evidence of disseminated intravascular coagulation and succumbed to their illnesses within a very short time. CONCLUSION: Arterial occlusion in pancreatic cancer is a rare preterminal event that may be caused by cardiogenic emboli from NBTE or to thrombosis in situ. The pathogenesis is briefly reviewed.- - - - - - - - - - ranking = 0.16666666666667keywords = thrombotic endocarditis, endocarditis (Clic here for more details about this article) |
5/11. Recurrent embolism in the course of marantic endocarditis.Marantic or nonbacterial thrombotic endocarditis (NBTE) associated with systemic embolism is usually a complication of advanced or terminal malignancies. We report on the case of a 46-year-old woman in whom nonbacterial thrombotic endocarditis (NBTE)-related cerebral embolism was the first clinical sign of ovarian neoplasm, which was diagnosed after cardiac surgery. Marantic endocarditis should alert the physician to make every effort to diagnose the possible background of this clinical phenomenon. Early identification of NBTE, treatment of the underlying disease, and the associated coagulopathy could possibly prevent cardiac surgery.- - - - - - - - - - ranking = 0.34324227516719keywords = thrombotic endocarditis, endocarditis (Clic here for more details about this article) |
6/11. Open heart surgery for thrombosis of a prosthetic mitral valve during pregnancy. Fetal hydrocephalus.pregnant women with cardiac valvular prostheses present an important risk factor and the major complications are endocarditis and thromboembolism. thromboembolism is determined by a hypercoagulation state. Compulsory anticoagulation treatment is an associated risk factor producing maternal and fetal complications. Different open heart surgical cases during pregnancy have been reported and a review of the literature shows favourable maternal prognosis. A 30-year-old woman with a Bjork-Shiley mitral prosthesis, during the 6th week of pregnancy presented with thrombosis and embolism due to a change in anticoagulation treatment from acenocumarol to heparin. Open heart surgery was carried out and the patient's course was favourable. A fetal hydrocephaly of unknown etiology was discovered during the 18th week of pregnancy. Open heart surgery during pregnancy and the necessity of thromboembolic prophylaxis, have been analysed and revised.- - - - - - - - - - ranking = 0.0019817883667704keywords = endocarditis (Clic here for more details about this article) |
7/11. Multiple transient ischemic attacks, lupus anticoagulant and verrucous endocarditis.A young adult with lupus anticoagulant and systemic lupus erythematosus had onset of multiple transient ischemic attacks four years after a major left hemispheric infarct. The symptoms were stereotyped, recurred several times daily over three years and ceased when aspirin was added to steroid therapy. It is speculated that her symptoms were due to recurrent embolism from the heart in the presence of a thrombotic state.- - - - - - - - - - ranking = 0.0079271534670814keywords = endocarditis (Clic here for more details about this article) |
8/11. Thromboembolic complications of ventriculoatrial shunts.Ventriculoatrial shunts were first developed in the 1940s and shortly thereafter became the treatment of choice for noncommunicating hydrocephalus. Although the mortality rate for noncommunicating hydrocephalus has fallen from 80% to 20%, ventriculoatrial shunts continue to have major life-threatening complications such as thromboemboli, infection, and shunt malfunction. This report presents the cases of two adult hydrocephalic patients who developed pulmonary emboli and sepsis after being treated with ventriculoatrial shunts. One patient, whose complications were not recognized until late in the course, died of pulmonary hypertension and right heart failure despite removal of the shunt and aggressive medical therapy. Complications in the second patient were discovered early, the shunt was removed, and intravenous antibiotics were used for weeks to combat sepsis and bacterial endocarditis.- - - - - - - - - - ranking = 0.0019817883667704keywords = endocarditis (Clic here for more details about this article) |
9/11. Multiple brain infarction and hemorrhage by nonbacterial thrombotic endocarditis in occult lung cancer--a case report.A fifty-four-year-old woman died from multiple brain infarction and hemorrhage in the bilateral cerebrum, cerebellum, and brainstem, with renal infarction. She developed hematuria and transient blindness sixteen days before admission. Low-grade fever, heart murmur, and aortic valve vegetation on ultrasonic cardiography suggested infectious endocarditis. autopsy study revealed occult adenocarcinoma in the lung and nonbacterial thrombotic endocarditis, but infective endocarditis was not histologically confirmed. The patient was considered to be a rare case of nonbacterial thrombotic endocarditis who developed multiple small infarctions mainly in the brainstem and cerebellum. Nonbacterial thrombotic endocarditis seems to be still an important disease as the embolic source, even if cryptic, of systemic thromboembolism.- - - - - - - - - - ranking = 1.1706302434002keywords = thrombotic endocarditis, endocarditis (Clic here for more details about this article) |
10/11. Deep tissue infections caused by scopulariopsis brevicaulis: report of a case of prosthetic valve endocarditis and review.scopulariopsis brevicaulis is a saprophytic fungus that commonly causes onychomycosis but rarely causes deep tissue infection. To the best of our knowledge, this is the first reported case of endocarditis caused by S. brevicaulis. The infection persisted despite two aortic valve replacements, debridement, and prolonged therapy with several antifungal agents. The patient eventually died due to an acute myocardial infarction caused by ongoing prosthetic valve endocarditis. We review case reports of deep tissue infections due to scopulariopsis species.- - - - - - - - - - ranking = 0.011890730200622keywords = endocarditis (Clic here for more details about this article) |
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