Nakasu Akio, Ishimine Tohru, Yasumoto Hiroshi, Tengan Toshiho, Mototake Hidemitsu
Department of Cardiovascular Surgery, Okinawa Chubu Hospital, Okinawa, Japan.
J Surg Case Rep. 2018 Apr 3;2018(4):rjy069. doi: 10.1093/jscr/rjy069. eCollection 2018 Apr.
Libman-Sacks endocarditis is a relatively rare sterile verrucous vegetative lesion observed in systemic lupus erythematosus (SLE)/antiphospholipid syndrome (APLS) patients. Most patients with this condition are asymptomatic. Here we report a case of a 46-year-old woman with APLS secondary to SLE complicated with frequent thromboembolic events due to a mitral valve mass. We performed minimally invasive mitral valve replacement with a mechanical prosthetic valve, and she was successfully discharged 14 days after surgery. Thus, Libman-Sacks endocarditis may be an indication for mitral valve replacement.
Libman-Sacks心内膜炎是一种相对罕见的无菌性疣状赘生物病变，见于系统性红斑狼疮（SLE）/抗磷脂综合征（APLS）患者。大多数患有这种疾病的患者没有症状。在此，我们报告一例46岁女性，继发于SLE的APLS，因二尖瓣肿物并发频繁血栓栓塞事件。我们采用机械人工瓣膜进行了微创二尖瓣置换术，她在术后14天成功出院。因此，Libman-Sacks心内膜炎可能是二尖瓣置换术的一个指征。
