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Cerebral Embolism: A Challenging Complication In Libman-Sacks Endocarditis.

Souhayla Souaf Khalafi1, Jhonny Javier Montesino Villafranca2, Jose Andrés Donoso Mera3

  • 1Division of Cardiac Surgery, University General Hospital of Alicante, Spain.

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Summary

Libman-Sacks endocarditis (LSE) is a rare condition linked to neurological issues. This case study highlights a patient who experienced strokes following LSE diagnosis and treatment, but ultimately recovered.

Keywords:
Libman-Sacks endocarditismarantic endocarditisstrokethrombosis

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Area of Science:

  • Cardiology
  • Neurology
  • Rheumatology

Background:

  • Libman-Sacks endocarditis (LSE) is an uncommon valvular heart disease.
  • LSE can be associated with neurocognitive dysfunction and brain lesions.
  • Early diagnosis and management are crucial.

Purpose of the Study:

  • To report a case of Libman-Sacks endocarditis in a 57-year-old woman.
  • To describe the clinical presentation, diagnostic findings, and management of LSE.
  • To highlight the potential neurological complications and outcomes.

Main Methods:

  • Case report of a 57-year-old woman.
  • Clinical examination, echocardiography, and laboratory tests were performed.
  • Anticoagulant therapy and surgical intervention were considered.

Main Results:

  • The patient presented with dyspnea, malaise, arthralgia, and cardiac murmurs.
  • Echocardiography confirmed severe mitral and moderate aortic regurgitation, consistent with LSE.
  • The patient experienced two strokes, one pre-operatively and one post-operatively, with status epilepticus, but recovered neurologically.

Conclusions:

  • Libman-Sacks endocarditis requires careful management due to potential embolic events.
  • Neurological complications, including stroke, can occur in LSE patients.
  • Despite significant neurological events, recovery is possible with appropriate care.