Open AccessBiomineralization of Heart Valves
Publication year - 2019
Publication title -
journal of clinical review and case reports
Language(s) - English
Resource type - Journals
ISSN - 2573-9565
DOI - 10.33140/jcrc.04.03.03
Subject(s) - medicine , chordae tendineae , transesophageal echocardiogram , endocarditis , anti nuclear antibody , transthoracic echocardiogram , cardiology , mitral valve , mitral regurgitation , systemic lupus erythematosus , complication , surgery , disease , antibody , immunology , autoantibody
22-year-old Puerto Rican male was diagnosed with Systemic Lupus Erythematous (SLE) after presenting with gradual onset shortness of breath during the past 24 hours. Transthoracic Echocardiogram revealed moderate-severe mitral regurgitation with anterior leaflet prolapse at A1 level with suspected rupture chordae, which later was confirmed by Transesophageal Echocardiogram (TEE). Laboratory results came back positive for Antinuclear Antibody, Anti-Double stranded DNA and Neuronal Nuclear Antibody, for which Systemic Lupus Erythematous was diagnosed. Broad spectrum antibiotics were provided due to the possibility of Libman-Sacks Endocarditis debuting as SLE also was started on intravenous steroids. Patient underwent Mitral Valve Replacement instead of repair given high risk of native valve recurrent damage or complication due to his newly diagnosed connective tissue disease