Mitral valve nonbacterial thrombotic endocarditis: a rare multi-surgery-tolerant survivor of Trousseau’s syndrome

BACKGROUND: Few previous reports have documented cases of nonbacterial thrombotic endocarditis associated with Trousseau’s syndrome for which surgery proved possible for both the primary tumor and the cardiac lesion. The effectiveness of direct oral anticoagulants in patients with Trousseau’s syndro...

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Autores principales: Soga, Yoshiharu, Taira, Kaoru, Sugimoto, Akira, Kurosawa, Manabu, Kira, Hiromasa, Su, Takamitsu, Doi, Kazuhiko, Nakano, Akira, Himura, Yoshihiro
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer Berlin Heidelberg 2018
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115325/
https://www.ncbi.nlm.nih.gov/pubmed/30159818
http://dx.doi.org/10.1186/s40792-018-0513-5
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author Soga, Yoshiharu
Taira, Kaoru
Sugimoto, Akira
Kurosawa, Manabu
Kira, Hiromasa
Su, Takamitsu
Doi, Kazuhiko
Nakano, Akira
Himura, Yoshihiro
author_facet Soga, Yoshiharu
Taira, Kaoru
Sugimoto, Akira
Kurosawa, Manabu
Kira, Hiromasa
Su, Takamitsu
Doi, Kazuhiko
Nakano, Akira
Himura, Yoshihiro
author_sort Soga, Yoshiharu
collection PubMed
description BACKGROUND: Few previous reports have documented cases of nonbacterial thrombotic endocarditis associated with Trousseau’s syndrome for which surgery proved possible for both the primary tumor and the cardiac lesion. The effectiveness of direct oral anticoagulants in patients with Trousseau’s syndrome has also received scant attention. CASE PRESENTATION: A 69-year-old man with repeated episodes of cerebral infarction was diagnosed as having nonbacterial thrombotic endocarditis after mitral valve replacement surgery. Stroke recurred preoperatively under apixaban administration. A stomach biopsy also identified gastric adenocarcinoma, and gastric surgery was performed on the 40th postoperative day. The patient was discharged from the hospital and has been free of thromboembolism under a regime of subcutaneous heparin self-injection thereafter. CONCLUSIONS: We have reported a rare multi-surgery-tolerant survivor of Trousseau’s syndrome in whom subcutaneous heparin injection was useful for preventing thromboembolic events over a long period.
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spelling pubmed-61153252018-09-10 Mitral valve nonbacterial thrombotic endocarditis: a rare multi-surgery-tolerant survivor of Trousseau’s syndrome Soga, Yoshiharu Taira, Kaoru Sugimoto, Akira Kurosawa, Manabu Kira, Hiromasa Su, Takamitsu Doi, Kazuhiko Nakano, Akira Himura, Yoshihiro Surg Case Rep Case Report BACKGROUND: Few previous reports have documented cases of nonbacterial thrombotic endocarditis associated with Trousseau’s syndrome for which surgery proved possible for both the primary tumor and the cardiac lesion. The effectiveness of direct oral anticoagulants in patients with Trousseau’s syndrome has also received scant attention. CASE PRESENTATION: A 69-year-old man with repeated episodes of cerebral infarction was diagnosed as having nonbacterial thrombotic endocarditis after mitral valve replacement surgery. Stroke recurred preoperatively under apixaban administration. A stomach biopsy also identified gastric adenocarcinoma, and gastric surgery was performed on the 40th postoperative day. The patient was discharged from the hospital and has been free of thromboembolism under a regime of subcutaneous heparin self-injection thereafter. CONCLUSIONS: We have reported a rare multi-surgery-tolerant survivor of Trousseau’s syndrome in whom subcutaneous heparin injection was useful for preventing thromboembolic events over a long period. Springer Berlin Heidelberg 2018-08-29 /pmc/articles/PMC6115325/ /pubmed/30159818 http://dx.doi.org/10.1186/s40792-018-0513-5 Text en © The Author(s). 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Case Report
Soga, Yoshiharu
Taira, Kaoru
Sugimoto, Akira
Kurosawa, Manabu
Kira, Hiromasa
Su, Takamitsu
Doi, Kazuhiko
Nakano, Akira
Himura, Yoshihiro
Mitral valve nonbacterial thrombotic endocarditis: a rare multi-surgery-tolerant survivor of Trousseau’s syndrome
title Mitral valve nonbacterial thrombotic endocarditis: a rare multi-surgery-tolerant survivor of Trousseau’s syndrome
title_full Mitral valve nonbacterial thrombotic endocarditis: a rare multi-surgery-tolerant survivor of Trousseau’s syndrome
title_fullStr Mitral valve nonbacterial thrombotic endocarditis: a rare multi-surgery-tolerant survivor of Trousseau’s syndrome
title_full_unstemmed Mitral valve nonbacterial thrombotic endocarditis: a rare multi-surgery-tolerant survivor of Trousseau’s syndrome
title_short Mitral valve nonbacterial thrombotic endocarditis: a rare multi-surgery-tolerant survivor of Trousseau’s syndrome
title_sort mitral valve nonbacterial thrombotic endocarditis: a rare multi-surgery-tolerant survivor of trousseau’s syndrome
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6115325/
https://www.ncbi.nlm.nih.gov/pubmed/30159818
http://dx.doi.org/10.1186/s40792-018-0513-5
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