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  • Title: Aortic valve replacement for Libman-Sacks endocarditis.
    Author: Keenan JB, Rajab TK, Janardhanan R, Larsen BT, Khalpey Z.
    Journal: BMJ Case Rep; 2016 Oct 04; 2016():. PubMed ID: 27702929.
    Abstract:
    A 24-year-old man with systemic lupus erythematosus and antiphospholipid syndrome complicated by lupus nephritis presented with acute limb ischaemia secondary to an embolus. Following embolectomy, the patient underwent a transthoracic echocardiogram which revealed a large vegetation on all three cusps of the aortic valve. The patient was taken for an urgent aortic valve replacement with a mechanical valve. Cultures of one cusp remained sterile. Histopathological examination of the remaining two cusps revealed sterile fibrin-rich thrombotic vegetations characteristic of non-bacterial thrombotic endocarditis.
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