Recurrent nonbacterial thrombotic endocarditis the day after mitral valve replacement

      Abstract

      Nonbacterial thrombotic endocarditis (NBTE) is relatively rare, with an identification rate of 1.6% at autopsy, and is associated with malignancy and systemic lupus erythematosus. Further, bioprosthetic valve NBTE is extremely rare, with only a few reports in the literature. To ensure appropriate treatment, it is essential to differentiate between NBTE from infective endocarditis (IE) as soon as possible, but this is difficult without information regarding underlying disease and sufficient time for careful investigation. Here, we report a case of recurrent NBTE of a bioprosthetic valve the day following surgery based on an initial diagnosis of IE.

      Keywords

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      References

        • Lopez JA
        • Ross RS
        • Fishbein MC.
        Nonbacterial thrombotic endocarditis. A review.
        Am Heart J. 1987; 113: 773-784
        • Asopa S
        • Patel A
        • Khan OA
        • Sharma R
        • Ohri SK.
        Non-bacterial thrombotic endocarditis.
        Eur J Cardiothorac Surg. 2007; 32: 696-701
        • Nakatani S
        • Ohara T
        • Ashihara K
        • Izumi C
        • Iwanaga S
        • Eishi K
        • Okita Y
        • Daimon M
        • Kimura T
        • Toyoda K
        • Nakase H
        • Nakano K
        • Higashi M
        • Mitsutake K
        • Murakami T
        • et al.
        JCS 2017 guideline on prevention and treatment of infective endocarditis.
        Circ J. 2019; 83: 1767-1809
        • Hosono M
        • Sasaki Y
        • Hirai H
        • Sakaguchi M
        • Nakahira A
        • Seo H
        • Morisaki A
        • Suehiro S.
        Considerations in timing of surgical intervention for infective endocarditis with cerebrovascular complications.
        J Heart Valve Dis. 2010; 19: 321-325
        • Ram D
        • Armstrong G
        • Khanijow V
        • Sibal AK.
        Nonbacterial thrombotic endocarditis of a bioprosthetic valve: Questions to ponder before replacement of the valve.
        J Card Surg. 2020; 35: 1142-1144
        • Brock MA
        • Bleiweis MA
        • Reid J
        • Moguillanksy D.
        Recurrent nonbacterial thrombotic endocarditis: a novel therapeutic approach.
        J Cardiol Cases. 2018; 17: 175-177