endocarditis trombótica no bacteriana bivalvular asociada a cáncer y ecocardiograma transesofágico bivalvular non bacterial thrombotic endocarditis associated with cancer and transesophageal echocardiography

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ID: 186240
2006
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Abstract
La endocarditis trombótica no bacteriana es la causa más frecuente de accidente cerebrovascular isquémico en pacientes con cáncer. En estos pacientes se hallaron vegetaciones valvulares hasta en el 9% de las autopsias. Sin embargo, la afección bivalvular es poco frecuente, observándose en el 9% de las endocarditis trombóticas. Se presenta una paciente con cáncer de ovario que presentó afasia e imágenes compatibles con isquemia cerebral. El ecocardiograma transtorácico fue normal. El ecocardiograma transesofágico evidenció vegetaciones en las válvulas aórtica y mitral. Se enfatiza la importancia de sospechar endocarditis trombótica no bacteriana en enfermos con cáncer y embolismo sistémico y en la escasa frecuencia de afección bivalvular.
Non bacterial thrombotic endocarditis is the most frequent cause of ischemic stroke in cancer patients. Up to 9% of autopsies of cancer patients show non infectious valvular masses. However, bivalvular involvement is not frequently occurring in 9% of non bacterial thrombotic endocarditis. We report a patient with ovarian cancer who presented aphasia. The MRI was compatible with cerebral ischemia. The transthoracic echocardiogram was normal and a transesophageal echocardiogram showed vegetations in aortic and mitral valves. We emphasize the importance of suspecting non bacterial thrombotic endocarditis in patients with cancer and systemic embolism and the low frequency of bivalvular involvement.
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zylberman2006medicinaendocarditis Use this key to autocite in the manuscript while using SciMatic Manuscript Manager or Thesis Manager
Authors Marcelo Zylberman, Fernando A. Díaz Couselo, Flavio Sánchez, Daniel Santos, Adrián Nervo
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Journal proceedings on: 2016 ieee central america and panama student conference, conescapan 2016
Year 2006
DOI
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URL
http://www.scielo.org.ar/scielo.php?script=sci_arttext&pid=S0025-76802006000300012
Keywords
Cancer allergyinfectious and parasitic diseases

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