Korean Circulation Journal

The Korean Society of Cardiology (대한심장학회)
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Non-Bacterial Thrombotic Endocarditis in a Patient with Rheumatoid Arthritis

  • Choi, Jung-Hye (Department of Rheumatology, Yonsei University Wonju College of Medicine) ;
  • Park, Jeong-Eun (Department of Rheumatology, Yonsei University Wonju College of Medicine) ;
  • Kim, Jang-Young (Department of Cardiology, Yonsei University Wonju College of Medicine) ;
  • Kang, Taeyoung (Department of Rheumatology, Yonsei University Wonju College of Medicine)
  • Received : 2015.06.06
  • Accepted : 2015.09.22
  • Published : 2016.05.30
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Abstract

Rheumatoid arthritis (RA) is frequently associated with various extra-joint complications. Although rare, thromboembolic complications are associated with high morbidity and mortality. We experienced a very rare case of nonbacterial thrombotic endocarditis (NBTE) and subsequent embolic stroke in a patient with RA. A 72-year-old male with a 15-year history of RA suddenly developed neurologic symptoms of vomiting and dizziness. Brain magnetic resonance imaging revealed recently developed multiple cerebellar and cerebral lacunar infarctions. Echocardiography showed a pulsating mitral valve vegetation involving the posterior cusp of the mitral valve leaflet, which was confirmed as NBTE. Immediate anti-coagulation therapy was started. The NBTE lesion disappeared in follow-up echocardiography after 4 weeks of anti-coagulation treatment.

Keywords

References

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