[Non-bacterial thrombotic endocarditis of the aortic valve in a young woman].
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.
Bazán
Víctor
V
Servicio de Cardiología. Hospital de la Vall d'Hebron. Barcelona. España. vbazan@hg.vhebron.es
Evangelista
Arturo
A
Avegliano
Gustavo
G
González
M Teresa
MT
Elorz
Cristina
C
García del Castillo
Herminio
H
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