Double-valve Replacement for Mitral and Aortic Regurgitation in a Patient with Libman-Sacks Endocarditis
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概要
- 論文の詳細を見る
A 53-year-old woman with systemic lupus erythematosus and antiphospholipid syndrome presented with central nervous system (CNS) lupus and vegetation of the mitral and aortic valves. Her CNS lupus was relieved with methylprednisolone pulse therapy; however, her mitral regurgitation worsened, and she developed acute decompensated heart failure. The mitral and aortic valves were replaced with mechanical heart valves. Microscopic examination of the excised valves showed no bacterial invasion, and Libman-Sacks (LS) endocarditis of both valves was confirmed. This was a case of LS endocarditis with clear vegetation that spread over the mitral and aortic valves.
著者
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Suzuki Shugo
Department Of Experimental Pathology And Tumor Biology Nagoya City University Graduate School Of Med
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Wakami Kazuaki
Department Of Cardio-renal Medicine And Hypertension Nagoya City University Graduate School Of Medic
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Ohte Nobuyuki
Department Of Cardio-renal Medicine And Hypertension Nagoya City University Graduate School Of Medic
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Suda Hisao
Department Of Cardiovascular Surgery Nagasaki Kouseikai Hospital
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Tani Tomomitsu
Department Of Cardio-renal Medicine And Hypertension Nagoya City University Graduate School Of Medic
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Yoshida Atsuhiro
Department Of Cardio-renal Medicine And Hypertension Nagoya City University Graduate School Of Medical Sciences
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Hachiya Kenta
Department of Cardio-Renal Medicine and Hypertension, Nagoya City University Graduate School of Medical Sciences, Japan
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Suzuki Shugo
Department of Pathology, Nagoya City East Medical Center, Japan
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