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John Radcliffe NHS Foundation Trust, Medical School, Nicosia, Cyprus


  • Case Report   
    Nonbacterial thrombotic endocarditis - Not forgotten
    Author(s): Sofia Metaxa, Mario Petrou and Constantinos G Missouris*

    We report the case of a 36-year-old man who presented with an incidental echocardiographic finding of a 1.1 × 0.8 cm mobile structure on the mitral valve associated with mild to moderate eccentric jet of mitral regurgitation. Surgical excision confirmed the diagnosis of nonbacterial thrombotic endocarditis (NBTE), formerly known as marantic endocarditis. The cardiolipin IgG and IgM antibodies and the lupus anticoagulant were strongly positive confirming the diagnosis of antiphospholipid syndrome. The patient was promptly anticoagulated. NBTE is a rare condition associated with advanced mucin secreting malignant tumours and hypercoagulable states. It is associated with high incidence of embolic events the most frequent ones being cerebral; the diagnosis is usually reached at post-mortem. Our case clearly demonstrat.. Read More»
    DOI: 10.4172/2368-0512.1000080


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