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Libman-Sacks Endocarditis Involving a Bioprosthesis in the Aortic Valve Position in Systemic Lupus Erythematosus
William C Roberts1, Andy Y Lee2, Stuart R Lander2
1Baylor Scott and White Heart and Vascular Institute, Departments of Internal Medicine and Heart Surgery, Baylor University Medical Center, Baylor Scott and White Health, Dallas, Texas; Departments of Internal Medicine (Division of Cardiology) and Cardiac Surgery, Baylor University Medical Center, Baylor Scott and White Health, Dallas, Texas.
The American Journal of Cardiology
|May 29, 2019
Summary
Systemic lupus erythematosus can cause Libman-Sacks endocarditis, leading to aortic valve stenosis in bioprosthetic valves. This case highlights a rare complication in a patient not on corticosteroid therapy.
Area of Science:
- Cardiology
- Rheumatology
- Immunology
Background:
- Systemic lupus erythematosus (SLE) is a chronic autoimmune disease.
- Libman-Sacks endocarditis (LSE) is a rare cardiac manifestation of SLE.
- Bioprosthetic valve stenosis can occur due to various factors.
Observation:
- A 39-year-old male patient with SLE was observed.
- The patient was not undergoing corticosteroid therapy.
- Development of LSE affecting a bioprosthetic aortic valve was noted.
Findings:
- Libman-Sacks endocarditis was diagnosed in the patient.
- The endocarditis resulted in stenosis of the bioprosthetic aortic valve.
- This indicates a potential complication of SLE in prosthetic heart valves.
Implications:
- This case underscores the importance of monitoring cardiac health in SLE patients, even without corticosteroid treatment.
- It highlights LSE as a cause of bioprosthetic valve dysfunction.
- Further research may be needed to understand LSE's impact on prosthetic valves in SLE.
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