Minimally-invasive mitral valve replacement in a patient with Libman-sacks endocarditis: A case report and literature review

Akshay Kumar Singh, Madhusudhan M. Gopivallabha, Ashwini Kumar Pasarad, Kishore Kolkebaile Sadanand
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Abstract

Systemic lupus erythematosus is an autoimmune disorder characterized by microvascular inflammation, usually causing multiple organ dysfunction including the heart and kidneys. It commonly causes valvular heart disease, mitral valve insufficiency being the most common. SLE patients are prone to develop premature coronary artery disease. Some patients who are positive for Anti-Ro/La antibodies develop complete heart block. We describe the case of severe mitral regurgitation with Libman-sacks endocarditis in a patient diagnosed with SLE. She underwent minimally invasive mitral valve replacement.

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微创二尖瓣置换术治疗Libman-sacks心内膜炎1例报告及文献复习
系统性红斑狼疮是一种以微血管炎症为特征的自身免疫性疾病,通常会引起包括心脏和肾脏在内的多器官功能障碍。它通常会引起瓣膜性心脏病,最常见的是二尖瓣功能不全。SLE患者易发生早发性冠状动脉疾病。一些抗ro /La抗体阳性的患者会出现完全性心脏传导阻滞。我们描述的情况下,严重二尖瓣反流与利布曼袋心内膜炎的患者诊断为SLE。她接受了微创二尖瓣置换术。
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