[Libman-Sacks endocarditis].
In 1924, Libman and Sacks described valvular lesions in patients with lupus erythematosus. Libman-Sacks valvular lesions are sterile fibrinous vegetations that preferentially develop at the left-sided heart valves. Reports of their prevalence range from 53 to 74%. Libman-Sacks endocarditis is associated with disease activity and antiphospholipid antibodies titer. Echocardiography is a useful tool for documenting valvular involvement and dysfunction as well as disease progression. Transesophageal echocardiography is superior to transthoracic echocardiography in detecting Libman-Sacks endocarditis. This report describes the echocardiographic image of Libman-Sacks endocarditis in a patient with active lupus erithematosus.
Carrillo-Esper
Raúl
R
Unidad de Terapia Intensiva, Fundación Clínica Médica Sur, México D.F., México. seconcapcma@mail.medinet.net.mx
Carrillo-Córdova
Jorge Raúl
JR
Carrillo-Córdova
Luis Daniel
LD
Carrillo-Córdova
Carlos Alberto
CA
D004696:Endocarditis / Q000000981:diagnostic imaging* / Q000209:etiology; D005260:Female; D006801:Humans; D008180:Lupus Erythematosus, Systemic / Q000150:complications*; D008875:Middle Aged; D014463:Ultrasonography