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

Surgical Case Reports
Yoshiharu SogaYoshihiro Himura

Abstract

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. 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. 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.

References

Oct 1, 1985·The American Journal of Medicine·W R BellJ K Porterfield
Sep 21, 2007·European Journal of Cardio-thoracic Surgery : Official Journal of the European Association for Cardio-thoracic Surgery·Sanjay AsopaSunil K Ohri
Jan 22, 2009·The Journal of Thoracic and Cardiovascular Surgery·Cevher OzcanLynda E Rosenfeld
Mar 17, 2009·Best Practice & Research. Clinical Haematology·Anna FalangaLaura Russo
Feb 25, 2014·Journal of Stroke and Cerebrovascular Diseases : the Official Journal of National Stroke Association·Kosuke YoshidaOsamu Yahara
May 10, 2017·Surgical Case Reports·Daisuke KaneyukiGoro Matsumiya

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BETA
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