title: Mitral valve surgery for marantic endocarditis and multiple cerebral embolisation.
abstract: Valvular involvement is common in antiphospholipid syndrome (APS) with increased risk of thrombo-embolic events. We report a patient with APS and multiple cerebral infarcts. Echocardiography demonstrated verrucous vegetations of the mitral valve in keeping with marantic endocarditis. The patient underwent successful mitral valve replacement. Post-operative clinical and echocardiographic follow-up showed excellent short term results.
authors.affiliation: Adult Congenital Heart Disease Clinic, Peter Lougheed Hospital, Division of Cardiovascular Diseases, University of Calgary, Canada.
authors.forename: Sherif
authors.initials: S
authors.lastname: Moustafa
authors.forename: David J
authors.initials: DJ
authors.lastname: Patton
authors.forename: Yvonne
authors.initials: Y
authors.lastname: Balon
authors.forename: William T
authors.initials: WT
authors.lastname: Kidd
authors.forename: Nanette
authors.initials: N
authors.lastname: Alvarez
mesh_terms: D016736:Antiphospholipid Syndrome / Q000150:complications / Q000000981:diagnostic imaging / Q000601:surgery; D002544:Cerebral Infarction / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D059905:Endocarditis, Non-Infective / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D005260:Female; D006801:Humans; D020766:Intracranial Embolism / Q000000981:diagnostic imaging / Q000209:etiology / Q000601:surgery; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000601:surgery; D014463:Ultrasonography