title: Recurrent embolism in the course of marantic endocarditis.
abstract: 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.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Institute of Diagnostic Radiology, University of Düesseldorf, Düesseldorf, Germany. dr.borowski@t-online.de
authors.forename: Andreas
authors.initials: A
authors.lastname: Borowski
authors.forename: Ali
authors.initials: A
authors.lastname: Ghodsizad
authors.forename: Mathias
authors.initials: M
authors.lastname: Cohnen
authors.forename: Emmeran
authors.initials: E
authors.lastname: Gams
mesh_terms: D001778:Blood Coagulation Disorders / Q000150:complications; D004696:Endocarditis / Q000209:etiology* / Q000473:pathology* / Q000601:surgery; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000209:etiology*; D008875:Middle Aged; D010051:Ovarian Neoplasms / Q000150:complications*; D012008:Recurrence; D013923:Thromboembolism / Q000209:etiology*