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[Libman-Sachs endocarditis and ischemic stroke: A case report]

M C Hoara1, B Simorre2, M R Belabed3

  • 1praticien hospitalier cardiologie, Centre Hospitalier 2 rue Valentin Haüy 34500 Béziers, France.

Annales De Cardiologie Et D'Angeiologie
|September 24, 2024
PubMed

Insights

Libman-Sacks endocarditis, a rare heart condition linked to antiphospholipid syndrome, can cause stroke. Early diagnosis via echocardiography and anticoagulation are key for favorable outcomes.

Area of Science:

  • Cardiology
  • Rheumatology
  • Neurology

Background:

  • Libman-Sacks endocarditis is a rare cardiac manifestation of antiphospholipid syndromes.
  • It involves non-infectious thrombotic vegetations on heart valves, posing a significant risk of thromboembolism.

Observation:

  • A 47-year-old female presented with stroke symptoms (hemiparesis, dysarthria).
  • Cerebral CT confirmed ischemic stroke; etiological work-up was negative except for transesophageal echocardiography revealing mitral valve vegetations.

Findings:

  • The patient was diagnosed with Libman-Sacks endocarditis.
  • Treatment with Coumadin was initiated with a target INR of 2-3.

Implications:

  • This case highlights the importance of considering Libman-Sacks endocarditis in stroke work-up.
  • Timely diagnosis and anticoagulation therapy led to a favorable clinical course and stable echocardiographic findings.

Keywords:
Accident vasculaire cérébral cryptogénétiqueAntiphospholipid syndromeCryptogenetic strokeEndocarditeEndocardite de Libman-SacksEndocardite non infectieuseEndocardite thrombotique non bactérienneEndocarditisLibman-Sacks endocarditisNon-infectious endocarditisNon-infectious thrombotic endocarditisSyndrome des anti-phospholipidesTransesophageal echocardiographyÉchographie transoesophagienne

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