Nonbacterial thrombotic endocarditis involving both the tricuspid and aortic valves.

Abstract

A 71-year-old male presented after sudden onset of confusion and expressive aphasia. MRI head revealed multiple ischemic lesions consistent with cardio-embolic pathophysiology. A computed tomography angiography of lung showed peripheral pulmonary emboli. He underwent a transesophageal echocardiogram as a part of the stroke workup and was found to have vegetations on both aortic and tricuspid valves. The blood cultures did not show any growth, and the patient remained afebrile during the course of hospitalization. A diagnosis of nonbacterial thrombotic embolism was made, and he was discharged on anticoagulation therapy with subcutaneous low molecular heparin.

• Authors: Bhaskar Bhardwaj, Ata Bajwa, Amit Sharma, Arooge Towheed, Bakul V Sanghani, A Iain McGhie
• Journal: Echocardiography (Mount Kisco, N.Y.) (Echocardiography) Vol. 33 Issue 12 Pg. 1916-1918 (Dec 2016) ISSN: 1540-8175 [Electronic] United States
• PMID: 27688000 (Publication Type: Case Reports)
• Copyright: © 2016, Wiley Periodicals, Inc.

Topics

• Aged
• Aortic Valve (diagnostic imaging)
• Echocardiography, Transesophageal (methods)
• Endocarditis, Non-Infective (diagnosis)
• Heart Diseases (diagnosis)
• Humans
• Magnetic Resonance Imaging, Cine
• Male
• Thrombosis (diagnosis)
• Tricuspid Valve (diagnostic imaging)