Nonbacterial thrombotic endocarditis involving both the tricuspid and aortic valves.
A 71-year-old male presented after sudden onset of confusion and expressive aphasia. MRI head revealed multiple ischemic lesions consistent with cardio-embolic pathophysiology. A computed tomography angiography of lung showed peripheral pulmonary emboli. He underwent a transesophageal echocardiogram as a part of the stroke workup and was found to have vegetations on both aortic and tricuspid valves. The blood cultures did not show any growth, and the patient remained afebrile during the course of hospitalization. A diagnosis of nonbacterial thrombotic embolism was made, and he was discharged on anticoagulation therapy with subcutaneous low molecular heparin.
University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
Bhaskar
B
Bhardwaj
University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
Ata
A
Bajwa
University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
Amit
A
Sharma
University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
Arooge
A
Towheed
Saint Luke's Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
Bakul V
BV
Sanghani
Saint Luke's Hospital, University of Missouri-Kansas City School of Medicine, Kansas City, Missouri.
A Iain
AI
McGhie
D000368:Aged; D001021:Aortic Valve / Q000000981:diagnostic imaging*; D017548:Echocardiography, Transesophageal / Q000379:methods*; D059905:Endocarditis, Non-Infective / Q000175:diagnosis*; D006331:Heart Diseases / Q000175:diagnosis; D006801:Humans; D019028:Magnetic Resonance Imaging, Cine; D008297:Male; D013927:Thrombosis / Q000175:diagnosis*; D014261:Tricuspid Valve / Q000000981:diagnostic imaging*
embolism cerebral; endocarditis; vegetations