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Mitral valve replacement for Libman-Sacks endocarditis in a patient with antiphospholipid syndrome secondary to
Akio Nakasu1, Tohru Ishimine1, Hiroshi Yasumoto1
1Department of Cardiovascular Surgery, Okinawa Chubu Hospital, Okinawa, Japan.
Abstract:
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.
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