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Nonbacterial thrombotic endocarditis involving both the tricuspid and aortic valves
Author(s) -
Bhardwaj Bhaskar,
Bajwa Ata,
Sharma Amit,
Towheed Arooge,
Sanghani Bakul V.,
McGhie A. Iain
Publication year - 2016
Publication title -
echocardiography
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.404
H-Index - 62
eISSN - 1540-8175
pISSN - 0742-2822
DOI - 10.1111/echo.13390
Subject(s) - medicine , endocarditis , transesophageal echocardiogram , cardiology , stroke (engine) , pulmonary embolism , embolism , pulmonary angiography , confusion , embolic stroke , embolus , angiography , autopsy , radiology , aphasia , thrombosis , ischemic stroke , ischemia , mechanical engineering , psychology , psychiatry , psychoanalysis , engineering
A 71‐year‐old male presented after sudden onset of confusion and expressive aphasia. MRI head revealed multiple ischemic lesions consistent with cardio‐embolic pathophysiology. A computed tomography angiography of lung showed peripheral pulmonary emboli. He underwent a transesophageal echocardiogram as a part of the stroke workup and was found to have vegetations on both aortic and tricuspid valves. The blood cultures did not show any growth, and the patient remained afebrile during the course of hospitalization. A diagnosis of nonbacterial thrombotic embolism was made, and he was discharged on anticoagulation therapy with subcutaneous low molecular heparin.