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Nonbacterial Thrombotic Endocarditis in a Patient with Bowel Infarction due to Mesenteric Vein Thrombosisopen access

Authors
Kim, Hyue MeeKim, Hack-LyoungLee, Hak SeungJung, Ji-HyunKim, Chee HaeOh, SooyeonKim, Jung HoZo, Joo-Hee
Issue Date
May-2014
Publisher
KOREAN SOC CARDIOLOGY
Keywords
Endocarditis; non-infective; Echocardiography; Venous thrombosis
Citation
KOREAN CIRCULATION JOURNAL, v.44, no.3, pp 189 - 192
Pages
4
Journal Title
KOREAN CIRCULATION JOURNAL
Volume
44
Number
3
Start Page
189
End Page
192
URI
https://scholarworks.bwise.kr/cau/handle/2019.sw.cau/70290
DOI
10.4070/kcj.2014.44.3.189
ISSN
1738-5520
1738-5555
Abstract
Ante mortem cases of venous thrombosis in patients with nonbacterial thrombotic endocarditis (NBTE) have not yet been reported. We describe a rare case of NBTE in a patient with mesenteric vein thrombosis. A healthy 37-year-old man with abdominal pain and fever underwent emergency small bowel resection due to bowel ischemia resulting from mesenteric vein thrombosis. Transthoracic echocardiography revealed multiple mobile masses attached to the anterior leaflet of the mitral valves and their chordae tendineae. On suspicion of infective endocarditis, the cardiac masses were excised through open-heart surgery. However, pathologic reviews were compatible with NBTE. The patient was stable after the cardiac surgery and was treated with warfarin. Laboratory and imaging findings regarding his hypercoagulable condition were all negative.
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