Amaral G, Santos Júnior E H, de Azevedo L C, de Azevedo L A, Pimenta J
Hospital do Servidor Pøublico Estadual, São Paulo.
Arq Bras Cardiol. 1997 May;68(5):373-5.
A case of a 38 year-old female patient admitted to the hospital with stroke is reported. Transesophageal echodoppler cardiogram showed mitral valve prolapse associated with a vegetation on its anterior leaflet, and this vegetation was a possible embolic source. The follow-up without signs of infectious disease, the good clinical outcome and the regression of the valvar vegetation without use of antibiotics consolidated the diagnosis of nonbacterial thrombotic endocarditis. As far as it is known, this is the first reported case with antemortem diagnosis and good outcome with treatment with aspirin and ticlopidine.
报告了一例38岁女性患者因中风入院的病例。经食管超声心动图显示二尖瓣脱垂并伴有前叶赘生物，该赘生物可能是栓子来源。随访无感染性疾病迹象，临床预后良好，且未使用抗生素情况下瓣膜赘生物消退，巩固了非细菌性血栓性心内膜炎的诊断。据所知，这是首例生前诊断且经阿司匹林和噻氯匹定治疗后预后良好的报告病例。
