title: Trousseau syndrome with nonbacterial thrombotic endocarditis in a patient with uterine cancer.
abstract: This paper aims to describe the usefulness of transthoracic echocardiography in the follow-up of recurrent nonbacterial thrombotic endocarditis (NBTE) associated with neoplastic conditions. A 60-year-old woman with advanced uterine cancer developed recurrent areas of aseptic vegetation on the mitral valve along with cerebral, renal and splenic embolisms. Echocardiographic assessments revealed vegetation and thrombotic events on three occasions. In this case, transthoracic echocardiography was effective in following the decreased frequency of attachment of the NBTE vegetation to the mitral valve and reductions in the size of the area of vegetation following treatment with unfractionated heparin infusion, hysterectomy and chemotherapy.
authors.affiliation: Division of Cardiology, Shimane University Faculty of Medicine, Japan. sakiito@med.shimane-u.ac.jp
authors.forename: Saki
authors.initials: S
authors.lastname: Ito
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Yoshitomi
authors.forename: Misun
authors.initials: M
authors.lastname: Pak
authors.forename: Hiroshi
authors.initials: H
authors.lastname: Kawahara
authors.forename: Takeshi
authors.initials: T
authors.lastname: Oshima
authors.forename: Shimpei
authors.initials: S
authors.lastname: Ito
authors.forename: Nobuhide
authors.initials: N
authors.lastname: Watanabe
authors.forename: Hirotomo
authors.initials: H
authors.lastname: Sato
authors.forename: Tomoko
authors.initials: T
authors.lastname: Adachi
authors.forename: Masaki
authors.initials: M
authors.lastname: Takeda
authors.forename: Takashi
authors.initials: T
authors.lastname: Sugamori
authors.forename: Nobuyuki
authors.initials: N
authors.lastname: Takahashi
authors.forename: Akihiro
authors.initials: A
authors.lastname: Endo
authors.forename: Tomoka
authors.initials: T
authors.lastname: Ishibashi
authors.forename: Kazuaki
authors.initials: K
authors.lastname: Tanabe
mesh_terms: D004452:Echocardiography; D059905:Endocarditis, Non-Infective / Q000150:complications* / Q000000981:diagnostic imaging / Q000628:therapy; D005260:Female; D006493:Heparin / Q000627:therapeutic use; D006801:Humans; D007044:Hysterectomy; D007238:Infarction / Q000150:complications / Q000628:therapy; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging; D010257:Paraneoplastic Syndromes / Q000150:complications; D012008:Recurrence; D013577:Syndrome; D014594:Uterine Neoplasms / Q000150:complications* / Q000628:therapy
chemical_list: D006493:Heparin