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[Non-bacterial thrombosing endocarditis. Apropos of 2 cases]
C Tribouilloy1, A Mirode, I Leduc
1Département de Cardiologie, Hôpital Sud, Amiens.
Annales De Cardiologie Et D'Angeiologie
|January 1, 1997
Summary
Nonbacterial thrombosing endocarditis, linked to cancer and embolism, involves hypercoagulability. Echocardiography aids in diagnosing this rare cardiac condition.
Area of Science:
- Cardiology
- Oncology
- Hematology
Background:
- Nonbacterial thrombosing endocarditis (NTE), also known as marasmic endocarditis, is a rare condition.
- It is often associated with underlying malignancy and systemic embolism.
- The exact pathophysiological mechanisms remain unclear.
Observation:
- Patients with cancer presenting with systemic embolism should be evaluated for NTE.
- Hypercoagulability is hypothesized to be a key factor in its pathogenesis.
- This cardiac condition may represent a systemic coagulopathy.
Findings:
- Two cases of marasmic endocarditis are presented.
- Transthoracic echocardiography (TTE) and transoesophageal echocardiography (TEE) were crucial for diagnosis.
- Echocardiography demonstrated its value in diagnosing difficult cases of NTE.
Implications:
- Consider NTE in cancer patients with systemic embolism.
- Further research into the hypercoagulable state is warranted.
- Echocardiography is an essential diagnostic tool for marasmic endocarditis.