Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Department of Cardiac Surgery, Nagoya University Graduate School of Medicine, Nagoya, Aichi, Japan.
Ann Thorac Surg. 2018 May;105(5):e199-e201. doi: 10.1016/j.athoracsur.2017.12.005. Epub 2018 Jan 3.
This report describes an atypical case of nonbacterial thrombotic endocarditis in a mitral valve. The patient suffered repeated emboli after achieving remission of Crohn disease in the acute phase. Echocardiography revealed mitral valve leaflet and subvalvular thickening. This initially was considered indicative of infective endocarditis or a cardiac tumor; however, pathologic and laboratory examinations showed nonbacterial thrombotic endocarditis without antiphospholipid syndrome or a malignant tumor. We report a rare case of nonbacterial thrombotic endocarditis complicated with Crohn disease.
本报告描述了一例二尖瓣非细菌性血栓性心内膜炎的不典型病例。该患者在急性期克罗恩病缓解后反复发生栓塞。超声心动图显示二尖瓣瓣叶和瓣下增厚。最初考虑为感染性心内膜炎或心脏肿瘤;然而,病理和实验室检查显示非细菌性血栓性心内膜炎,无抗磷脂综合征或恶性肿瘤。我们报告一例罕见的伴有克罗恩病的非细菌性血栓性心内膜炎病例。