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系统性红斑狼疮合并继发性抗磷脂综合征中的孤立性三尖瓣Libman-Sacks心内膜炎

Isolated Tricuspid Valve Libman-Sacks Endocarditis in Systemic Lupus Erythematosus with Secondary Antiphospholipid Syndrome.

作者信息

Unic Daniel, Planinc Mislav, Baric Davor, Rudez Igor, Blazekovic Robert, Senjug Petar, Sutlic Zeljko

出版信息

Tex Heart Inst J. 2017 Apr 1;44(2):147-149. doi: 10.14503/THIJ-16-5856. eCollection 2017 Apr.

DOI:10.14503/THIJ-16-5856
PMID:28461804
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5408632/
Abstract

Libman-Sacks endocarditis, one of the most prevalent cardiac presentations of systemic lupus erythematosus, typically affects the aortic or mitral valve; tricuspid valve involvement is highly unusual. Secondary antiphospholipid syndrome increases the frequency and severity of cardiac valvular disease in systemic lupus erythematosus. We present the case of a 47-year-old woman with lupus and antiphospholipid syndrome whose massive tricuspid regurgitation was caused by Libman-Sacks endocarditis isolated to the tricuspid valve. In addition, we discuss this rare case in the context of the relevant medical literature.

摘要

利布曼-萨克斯心内膜炎是系统性红斑狼疮最常见的心脏表现之一，通常累及主动脉瓣或二尖瓣；累及三尖瓣极为罕见。继发性抗磷脂综合征会增加系统性红斑狼疮中心脏瓣膜病的发生频率和严重程度。我们报告一例患有狼疮和抗磷脂综合征的47岁女性病例，其严重的三尖瓣反流由孤立于三尖瓣的利布曼-萨克斯心内膜炎所致。此外，我们结合相关医学文献对这一罕见病例进行讨论。

相似文献

1
Isolated Tricuspid Valve Libman-Sacks Endocarditis in Systemic Lupus Erythematosus with Secondary Antiphospholipid Syndrome.系统性红斑狼疮合并继发性抗磷脂综合征中的孤立性三尖瓣Libman-Sacks心内膜炎
Tex Heart Inst J. 2017 Apr 1;44(2):147-149. doi: 10.14503/THIJ-16-5856. eCollection 2017 Apr.
2
Aortic valve surgery for aortic regurgitation caused by Libman-Sacks endocarditis in a patient with primary antiphospholipid syndrome: a case report.原发性抗磷脂综合征患者因 Libman-Sacks 心内膜炎导致主动脉瓣反流行主动脉瓣手术：病例报告。
J Cardiothorac Surg. 2021 Apr 17;16(1):92. doi: 10.1186/s13019-021-01458-2.
3
Libman-Sacks Endocarditis Due to Systemic Lupus Erythematosus Activation After Mitral Valve Plasty.二尖瓣成形术后系统性红斑狼疮激活所致的Libman-Sacks心内膜炎
Ann Thorac Surg. 2017 Aug;104(2):e109-e111. doi: 10.1016/j.athoracsur.2017.01.073.
4
Aortic valve replacement for Libman-Sacks endocarditis.利布曼-萨克斯心内膜炎的主动脉瓣置换术。
BMJ Case Rep. 2016 Oct 4;2016:bcr2016215914. doi: 10.1136/bcr-2016-215914.
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Mitral valve surgery for mitral regurgitation caused by Libman-Sacks endocarditis: a report of four cases and a systematic review of the literature.二尖瓣手术治疗利布曼-萨克斯心内膜炎所致二尖瓣反流：4例报告及文献系统综述
J Cardiothorac Surg. 2010 Mar 23;5:13. doi: 10.1186/1749-8090-5-13.
6
Valve replacement for severe tricuspid regurgitation caused by Libman-Sacks endocarditis.针对由Libman-Sacks心内膜炎引起的严重三尖瓣反流进行瓣膜置换术。
Br Heart J. 1982 Sep;48(3):294-7. doi: 10.1136/hrt.48.3.294.
7
Double-valve replacement for mitral and aortic regurgitation in a Patient with Libman-Sacks endocarditis.利布曼-萨克斯心内膜炎患者二尖瓣和主动脉瓣反流的双瓣膜置换术
Intern Med. 2014;53(16):1769-73. doi: 10.2169/internalmedicine.53.2232. Epub 2014 Aug 15.
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Libman-Sacks endocarditis as the first manifestation of systemic lupus erythematosus in an adolescent, with a review of the literature.Libman-Sacks心内膜炎作为青少年系统性红斑狼疮的首发表现，并附文献综述
Cardiol Young. 2013 Feb;23(1):1-6. doi: 10.1017/S1047951112001023. Epub 2012 Jul 18.
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Libman-Sacks endocarditis in systemic lupus erythematosus: prevalence, associations, and evolution.系统性红斑狼疮中的Libman-Sacks心内膜炎：患病率、关联因素及演变
Am J Med. 2007 Jul;120(7):636-42. doi: 10.1016/j.amjmed.2007.01.024.
10
[Libman-Sacks endocarditis associated with antiphospholipid syndrome. Report of one case].[抗磷脂综合征相关的Libman-Sacks心内膜炎。1例报告]
Rev Med Chil. 2013 Sep;141(9):1206-10. doi: 10.4067/S0034-98872013000900015.

引用本文的文献

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Libman-Sacks endocarditis in a child with systemic lupus erythematosus: a case report and literature review.一名系统性红斑狼疮患儿的Libman-Sacks心内膜炎：病例报告及文献综述
Front Pediatr. 2024 Jan 31;12:1323943. doi: 10.3389/fped.2024.1323943. eCollection 2024.
2
Libman-Sacks Endocarditis With Triple Valvular Involvement.累及三尖瓣的Libman-Sacks心内膜炎。
Cureus. 2023 Apr 17;15(4):e37734. doi: 10.7759/cureus.37734. eCollection 2023 Apr.
3
A Rare Case of Tricuspid Valve Libman-Sacks Endocarditis in a Pregnant Woman with Primary Antiphospholipid Syndrome.一名患有原发性抗磷脂综合征的孕妇发生三尖瓣利布曼-萨克斯心内膜炎的罕见病例。
J Clin Med. 2022 Oct 5;11(19):5875. doi: 10.3390/jcm11195875.
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All Endocarditis Is Not Infective: Libman-Sacks Endocarditis.并非所有的心内膜炎都是感染性的：利布曼-萨克斯心内膜炎。
Cureus. 2022 Jul 3;14(7):e26526. doi: 10.7759/cureus.26526. eCollection 2022 Jul.
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Disorders of the Aorta and Aortic Valve in Connective Tissue Diseases.结缔组织病中的主动脉和主动脉瓣病变。
Curr Cardiol Rep. 2020 Jun 19;22(8):70. doi: 10.1007/s11886-020-01314-0.
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Improvement of Cardiac Vegetations in Antiphospholipid Syndrome with Enoxaparin and Corticosteroids after Rivaroxaban Failure.利伐沙班治疗失败后，依诺肝素和皮质类固醇治疗抗磷脂综合征中心脏赘生物的改善情况。
Case Rep Hematol. 2018 Sep 9;2018:8097539. doi: 10.1155/2018/8097539. eCollection 2018.

本文引用的文献

1
Isolated tricuspid valve Libman-Sacks endocarditis and valvular stenosis: unusual manifestations of systemic lupus erythematosus.孤立性三尖瓣 Libman-Sacks 心内膜炎和瓣狭窄：系统性红斑狼疮的不常见表现。
J Am Soc Echocardiogr. 2010 Mar;23(3):341.e3-5. doi: 10.1016/j.echo.2009.09.004. Epub 2009 Oct 15.
2
Extensive nonbacterial thrombotic endocarditis isolated to the tricuspid valve in primary antiphospholipid syndrome.原发性抗磷脂综合征孤立性三尖瓣广泛非细菌性血栓性心内膜炎。
J Am Soc Echocardiogr. 2010 Jan;23(1):107.e5-6. doi: 10.1016/j.echo.2009.07.019. Epub 2009 Sep 19.
3
Libman-Sacks endocarditis in systemic lupus erythematosus: prevalence, associations, and evolution.系统性红斑狼疮中的Libman-Sacks心内膜炎：患病率、关联因素及演变
Am J Med. 2007 Jul;120(7):636-42. doi: 10.1016/j.amjmed.2007.01.024.
4
Valvulitis requiring triple valve surgery as an initial presentation of systemic lupus erythematosus.作为系统性红斑狼疮的首发表现而需要进行三瓣膜手术的瓣膜炎。
J Am Soc Echocardiogr. 2007 Nov;20(11):1315.e1-3. doi: 10.1016/j.echo.2007.02.032. Epub 2007 Jun 27.
5
Severe valvular regurgitation and antiphospholipid antibodies in systemic lupus erythematosus: a prospective, long-term, followup study.系统性红斑狼疮中的严重瓣膜反流与抗磷脂抗体：一项前瞻性长期随访研究
Arthritis Rheum. 2005 Jun 15;53(3):460-7. doi: 10.1002/art.21162.
6
Libman-Sacks endocarditis in the antiphospholipid syndrome: immunopathologic findings in deformed heart valves.抗磷脂综合征中的Libman-Sacks心内膜炎：变形心脏瓣膜的免疫病理表现
Lupus. 1996 Jun;5(3):196-205. doi: 10.1177/096120339600500306.
7
Comparison of the primary and secondary antiphospholipid syndrome: a European Multicenter Study of 114 patients.原发性与继发性抗磷脂综合征的比较：一项针对114例患者的欧洲多中心研究。
Am J Med. 1994 Jan;96(1):3-9. doi: 10.1016/0002-9343(94)90108-2.
8
Valve replacement for severe tricuspid regurgitation caused by Libman-Sacks endocarditis.针对由Libman-Sacks心内膜炎引起的严重三尖瓣反流进行瓣膜置换术。
Br Heart J. 1982 Sep;48(3):294-7. doi: 10.1136/hrt.48.3.294.