title: Libman-sacks endocarditis exclusively involving the tricuspid valve in a patient with systemic lupus erythematosus.
abstract: Libman-Sacks endocarditis, characterized by sterile verrucous vegetations, is a rare but typical cardiac manifestation of systemic lupus erythematosus. It primarily leads to lesions of the mitral and aortic valves, but isolated tricuspid valve involvement is exceptional. We report the case of a 40-year-old woman with large tricuspid valve vegetations, thickening, and regurgitation. Clinical findings and laboratory tests confirmed the diagnosis of systemic lupus erythematosus. The patient successfully recovered following tricuspid valve replacement. Echocardiography is the definitive imaging modality for assessing cardiac valvular involvement, choosing appropriate therapy, and evaluating the prognosis of Libman-Sacks endocarditis in systemic lupus erythematosus. © 2014 Wiley Periodicals, Inc. J Clin Ultrasound 43:265-267, 2015.
authors.affiliation: The Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shen Yang, Liao Ning, People's Republic of China.
authors.forename: Yonghuai
authors.initials: Y
authors.lastname: Wang
authors.affiliation: The Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shen Yang, Liao Ning, People's Republic of China.
authors.forename: Chunyan
authors.initials: C
authors.lastname: Ma
authors.affiliation: The Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shen Yang, Liao Ning, People's Republic of China.
authors.forename: Jun
authors.initials: J
authors.lastname: Yang
authors.affiliation: The Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shen Yang, Liao Ning, People's Republic of China.
authors.forename: Shuang
authors.initials: S
authors.lastname: Liu
authors.affiliation: The Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shen Yang, Liao Ning, People's Republic of China.
authors.forename: Yan
authors.initials: Y
authors.lastname: Zhang
authors.affiliation: The Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shen Yang, Liao Ning, People's Republic of China.
authors.forename: Lanting
authors.initials: L
authors.lastname: Zhao
authors.affiliation: The Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shen Yang, Liao Ning, People's Republic of China.
authors.forename: Zhengyu
authors.initials: Z
authors.lastname: Guan
authors.affiliation: The Department of Cardiovascular Ultrasound, The First Hospital of China Medical University, Shen Yang, Liao Ning, People's Republic of China.
authors.forename: Hong
authors.initials: H
authors.lastname: Wei
authors.affiliation: The Department of Cardiac Surgery, The First Hospital of China Medical University, Shen Yang, Liao Ning, People's Republic of China.
authors.forename: Tianxiang
authors.initials: T
authors.lastname: Gu
keywords: Libman-Sacks endocarditis; echocardiography; systemic lupus erythematosus; tricuspid valve