Nonbacterial Thrombotic Endocarditis in a Patient with Bowel Infarction due to Mesenteric Vein Thrombosis
Korean Circulation Journal 2014³â 44±Ç 3È£ p.189 ~ p.192
±èÇý¹Ì(Kim Hyue-Mee) - Seoul National University Boramae Medical Center Department of Internal Medicine
±èÇзÉ(Kim Hack-Lyoung) - Seoul National University Boramae Medical Center Department of Internal Medicine
ÀÌÇнÂ(Lee Hak-Seung) - Seoul National University Boramae Medical Center Department of Internal Medicine
Á¤ÁöÇö(Jung Ji-Hyun) - Seoul National University Boramae Medical Center Department of Internal Medicine
±èÁöÇý(Kim Chee-Hae) - Seoul National University Boramae Medical Center Department of Internal Medicine
¿À¼ö¿¬(Oh Soo-Yeon) - Seoul National University Boramae Medical Center Department of Internal Medicine
Á¶ÁÖÈñ(Zo Joo-Hee) - Seoul National University Boramae Medical Center Department of Internal Medicine
±èÁ¤È£(Kim Jung-Ho) - Seoul National University College of Medicine Boramae Medical Center Department of Pathology
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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Endocarditis, non-infective, Echocardiography, Venous thrombosis
KMID :
0368120140440030189
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