title: [Bivalvular non bacterial thrombotic endocarditis associated with cancer and transesophageal echocardiography].
abstract: Non bacterial thrombotic endocarditis is the most frequent cause of ischemic stroke in cancer patients. Up to 9% of autopsies of cancer patients show non infectious valvular masses. However, bivalvular involvement is not frequently occurring in 9% of non bacterial thrombotic endocarditis. We report a patient with ovarian cancer who presented aphasia. The MRI was compatible with cerebral ischemia. The transthoracic echocardiogram was normal and a transesophageal echocardiogram showed vegetations in aortic and mitral valves. We emphasize the importance of suspecting non bacterial thrombotic endocarditis in patients with cancer and systemic embolism and the low frequency of bivalvular involvement.
authors.affiliation: Servicio de Medicina Interna, Instituto Alexander Fleming, Buenos Aires, Argentina. mzylberman@afleming.com.ar
authors.forename: Marcelo
authors.initials: M
authors.lastname: Zylberman
authors.forename: Fernando A
authors.initials: FA
authors.lastname: Díaz Couselo
authors.forename: Flavio
authors.initials: F
authors.lastname: Sánchez
authors.forename: Daniel
authors.initials: D
authors.lastname: Santos
authors.forename: Adrián
authors.initials: A
authors.lastname: Nervo
mesh_terms: D003536:Cystadenocarcinoma / Q000150:complications*; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000175:diagnosis* / Q000209:etiology; D005260:Female; D006801:Humans; D008297:Male; D008943:Mitral Valve; D010051:Ovarian Neoplasms / Q000150:complications*; D013927:Thrombosis / Q000150:complications