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Case Reports
. 2010:2010:319732.
doi: 10.4061/2010/319732. Epub 2010 May 31.

Primary coronary embolism as an unusual manifestation of nonbacterial thrombotic endocarditis in a patient with gastric cancer

Giovanni Ferlan  1 , Annalisa Fiorella, Claudio De Pasquale, Francesco Tunzi
Affiliations
Case Reports

Primary coronary embolism as an unusual manifestation of nonbacterial thrombotic endocarditis in a patient with gastric cancer

Giovanni Ferlan et al. Cardiol Res Pract. 2010.

Abstract

Nonbacterial thrombotic endocarditis (NBTE) is a rare clinical condition characterized by the presence of sterile vegetations on valvular leaflets Gross and Friedberg (1936). The most frequent cause of NBTE is antiphospholipid syndrome Hughson and et al. (1993); malignancy, through an intrinsic condition of hypercoagulability, is the second most common cause Thomas (2001). Systemic thromboembolic complications are frequently associated with this condition, but coronary embolism is not common. We report the case of a patient with NBTE secondary to gastric adenocarcinoma with clinical symptoms of coronary and systemic emboli.

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Figures

Figure 1
Figure 1
Ecg on admission reveals ST segment elevation in leads II, III, AVF.
Figure 2
Figure 2
Transesophageal echocardiography shows an echodense structure (0.7 cm by 1 cm) on the atrial aspect of the anterior mitral leaflet.
Figure 3
Figure 3
Arrows point to the vegetations on the leaflets.
See this image and copyright information in PMC

References

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