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Presentation and management of marantic endocarditis: A case series

Ricky Patil1, Camille Yongue1, Les James1

  • 1Department of Cardiothoracic Surgery, NYU Langone Health, New York, New York, USA.

Echocardiography (Mount Kisco, N.Y.)
|August 12, 2024
PubMed

Insights

Marantic endocarditis, a rare sterile heart valve condition, was studied in five patients. Treatment varied from anticoagulation to surgery, with outcomes including recovery and mortality, reflecting known patterns.

Area of Science:

  • Cardiology
  • Pathology
  • Internal Medicine

Background:

  • Marantic endocarditis is a rare form of sterile endocarditis.
  • It is infrequently encountered in clinical practice, posing diagnostic and therapeutic challenges.

Observation:

  • This case series details five patients diagnosed with marantic endocarditis.
  • Diagnosis was confirmed using trans thoracic echocardiography and transesophageal echocardiography.
  • Patient conditions included antiphospholipid syndrome (three cases) and advanced malignancy (two cases).

Findings:

  • Two patients responded successfully to anticoagulation therapy.
  • Two patients required surgical intervention for valvular issues.
  • One patient experienced a fatal outcome.

Implications:

  • The observed treatment courses align with patterns previously reported in medical literature.
  • This case series highlights the variable clinical presentations and management strategies for marantic endocarditis.
  • Further research may elucidate optimal therapeutic approaches for this rare condition.
Keywords:
Libman–Sacks endocarditismarantic endocarditissterile endocarditis

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