Case Report: New is Not Always Better: Treatment of Non-bacterial Thrombotic Endocarditis

Overview

Journal Front Cardiovasc Med

Specialty Cardiology & Vascular Diseases

Date 2023 Jul 28

PMID 37502185

Authors

Elias Akiki

Ali Ahmad

Edward A El-Am

Ana I Casanegra

Kyle W Klarich

Reto Kurmann

Affiliations

Soon will be listed here.

Abstract

An elderly female with metastatic adenocarcinoma of the lung and atrial fibrillation presented with multiple embolic strokes while on anticoagulation with Apixaban. After further investigation, a TEE showed lesions of non-bacterial thrombotic endocarditis on the mitral valve. A decision to switch the patient to LMWH for anticoagulation was then made and a follow-up TEE showed resolution of the NBTE. In this abstract, we show that heparin should remain as the anticoagulation agent of choice in the setting of NBTE associated with malignancy.

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