Retinal artery embolization complicating Libman-Sacks endocarditis in a systemic lupus erythematosus patient
| Autor: | Marisa Peres, Liliana Marta, Davide Severino, Vítor Ferreira, M L Pitta, Graça Ferreira da Silva, Maria Clotilde Puga |
|---|---|
| Rok vydání: | 2012 |
| Předmět: |
medicine.medical_specialty
lcsh:Diseases of the circulatory (Cardiovascular) system Retinal Artery Occlusion Retinal Artery medicine.medical_treatment Embolism Libman–Sacks endocarditis Retinal Diseases Internal medicine Medicine Endocarditis Humans Lupus Erythematosus Systemic cardiovascular diseases Embolization skin and connective tissue diseases General Environmental Science Aged business.industry medicine.disease Surgery lcsh:RC666-701 Infective endocarditis Heart failure cardiovascular system Cardiology General Earth and Planetary Sciences Female Cardiology and Cardiovascular Medicine business |
| Zdroj: | Revista Portuguesa de Cardiologia (English Edition), Vol 32, Iss 4, Pp 345-347 (2013) Revista Portuguesa de Cardiologia, Vol 32, Iss 4, Pp 345-347 (2013) |
| ISSN: | 2174-2030 |
| Popis: | Libman-Sacks endocarditis (LSE) is the most characteristic cardiac manifestation of systemic lupus erythematosus (SLE). It is usually clinically silent but heart failure due to valvular dysfunction, secondary infective endocarditis and embolic phenomena can complicate valvular abnormalities. We present a patient with SLE and blindness due to right central retinal artery occlusion. Echocardiographic examination revealed a verrucous vegetation on the posterior mitral valve leaflet consistent with LSE. Anticoagulation therapy was started. Echocardiographic regression of the vegetation was observed and there has been no recurrence of thromboembolic events to date. Resumo: A endocardite de Libman-Sacks é a manifestação cardíaca mais característica do LES. É habitualmente clinicamente silenciosa, mas a insuficiência cardíaca por disfunção valvular, a endocardite infecciosa secundária e os fenómenos embólicos podem complicar as alterações valvulares. Apresentamos um caso clínico de uma doente com LES e amaurose à direita por trombose da artéria central da retina. O ecocardiograma mostrou uma vegetação verrucosa no folheto posterior da válvula mitral, compatível com endocardite de Libman-Sacks. A doente iniciou terapêutica com anticoagulação, verificou-se regressão da vegetação descrita e não teve recorrência de eventos tromboembólicos até à data. Keywords: Systemic lupus erythematosus, Libman-Sacks endocarditis, Embolization, Retinal artery occlusion, Palavras-chave: Lúpus eritematoso sistémico, Endocardite de Libman-Sacks, Embolização, Oclusão da artéria da retina |
| Databáze: | OpenAIRE |
| Externí odkaz: |
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