Nonbacterial Thrombotic Endocarditis in a Patient with Bowel Infarction due to Mesenteric Vein Thrombosis.
10.4070/kcj.2014.44.3.189
- Author:
Hyue Mee KIM
1
;
Hack Lyoung KIM
;
Hak Seung LEE
;
Ji Hyun JUNG
;
Chee Hae KIM
;
Sooyeon OH
;
Jung Ho KIM
;
Joo Hee ZO
Author Information
1. Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul National University College of Medicine, Seoul, Korea. khl2876@gmail.com
- Publication Type:Case Report
- Keywords:
Endocarditis, non-infective;
Echocardiography;
Venous thrombosis
- MeSH:
Abdominal Pain;
Adult;
Ants;
Chordae Tendineae;
Echocardiography;
Emergencies;
Endocarditis*;
Endocarditis, Non-Infective;
Fever;
Humans;
Infarction*;
Ischemia;
Mesenteric Veins*;
Mitral Valve;
Thoracic Surgery;
Thrombosis*;
Venous Thrombosis;
Warfarin
- From:Korean Circulation Journal
2014;44(3):189-192
- CountryRepublic of Korea
- Language:English
-
Abstract:
Ante mortem cases of venous thrombosis in patients with nonbacterial thrombotic endocarditis (NBTE) have not yet been reported. We describe a rare case of NBTE in a patient with mesenteric vein thrombosis. A healthy 37-year-old man with abdominal pain and fever underwent emergency small bowel resection due to bowel ischemia resulting from mesenteric vein thrombosis. Transthoracic echocardiography revealed multiple mobile masses attached to the anterior leaflet of the mitral valves and their chordae tendineae. On suspicion of infective endocarditis, the cardiac masses were excised through open-heart surgery. However, pathologic reviews were compatible with NBTE. The patient was stable after the cardiac surgery and was treated with warfarin. Laboratory and imaging findings regarding his hypercoagulable condition were all negative.
