title: [Non-bacterial thrombotic endocarditis of the aortic valve in a young woman].
abstract: A 40-year-old woman without heart disease suffered two embolic episodes in both legs due to a thrombus of the aortic valve. Transesophageal echocardiography performed after the first episode was considered normal, but a second study performed after the second embolism demonstrated a thrombus in the non-coronary leaflet that failed to resolve with the intravenous administration of heparin for two weeks. Surgical excision of the mass revealed a thrombus on an otherwise healthy aortic valve. The case is interesting because it is an exceptional cause of systemic embolism and the patient did not present a prothrombotic status in coagulation studies. The 3 years of follow-up was uneventful.
authors.affiliation: Servicio de Cardiología. Hospital de la Vall d'Hebron. Barcelona. España. vbazan@hg.vhebron.es
authors.forename: Víctor
authors.initials: V
authors.lastname: Bazán
authors.forename: Arturo
authors.initials: A
authors.lastname: Evangelista
authors.forename: Gustavo
authors.initials: G
authors.lastname: Avegliano
authors.forename: M Teresa
authors.initials: MT
authors.lastname: González
authors.forename: Cristina
authors.initials: C
authors.lastname: Elorz
authors.forename: Herminio
authors.initials: H
authors.lastname: García del Castillo
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000473:pathology* / Q000601:surgery; D017548:Echocardiography, Transesophageal; D004617:Embolism / Q000209:etiology*; D004696:Endocarditis / Q000209:etiology* / Q000473:pathology; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications* / Q000000981:diagnostic imaging / Q000601:surgery; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000601:surgery; D016896:Treatment Outcome