title: Double-valve Libman-Sacks endocarditis causing ventricular fibrillation cardiac arrest.
abstract: Libman-Sacks endocarditis is a well-known and rather common cardiac manifestation of systemic lupus erythematosus. Transesophageal and transthoracic echocardiography are the definitive imaging methods used to evaluate cardiac valvular involvement in this disease. Valvular masses (vegetations) and valvular thickening are 2 common morphologic echocardiographic patterns. Libman-Sacks lesions are typically characterized by single-valve involvement and their small size of 1 to 4 mm.Herein, we present the unusual case of a 22-year-old woman with newly diagnosed systemic lupus erythematosus who had large, sterile vegetations of Libman-Sacks endocarditis that involved the mitral and aortic valves. This compromised coronary blood flow and resulted in ventricular fibrillation cardiac arrest. The vegetations were surgically excised, and the patient's cardiac function recovered. We discuss the treatment of the patient and that of Libman-Sacks endocarditis.
authors: Department of Medicine, Advocate Christ Medical Center/University of Illinois at Chicago, Oak Lawn, Illinois 60453, USA. ttanawuttiwat@gmail.com
authors: Tanyanan
authors: T
authors: Tanawuttiwat
authors: Muhyaldeen
authors: M
authors: Dia
authors: Tabassum
authors: T
authors: Hanif
authors: Mihaela
authors: M
authors: Mihailescu
mesh_terms: D001021:Aortic Valve / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D001706:Biopsy; D006348:Cardiac Surgical Procedures; D016887:Cardiopulmonary Resuscitation; D017548:Echocardiography, Transesophageal; D004696:Endocarditis / Q000175:diagnosis / Q000209:etiology* / Q000601:surgery; D005260:Female; D006323:Heart Arrest / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D006801:Humans; D007166:Immunosuppressive Agents / Q000627:therapeutic use; D008180:Lupus Erythematosus, Systemic / Q000150:complications* / Q000175:diagnosis / Q000188:drug therapy; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000473:pathology / Q000601:surgery; D016896:Treatment Outcome; D014693:Ventricular Fibrillation / Q000175:diagnosis / Q000209:etiology* / Q000628:therapy; D055815:Young Adult
chemical_list: D007166:Immunosuppressive Agents