系统性红斑狼疮利伯曼-萨克斯心内膜炎导致的心脏瓣膜受累(二尖瓣反流) :病例报告和文献综述

G. Ziani, N. Belharty, M. Cherti
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摘要

利伯曼-萨克斯(Libman-Sacks)心内膜炎是系统性红斑狼疮(SLE)和抗磷脂综合征(APS)最常见的心脏表现之一。我们报告了一例年轻的系统性红斑狼疮(SLE)患者因利伯曼-萨克斯(Libman-Sacks)心内膜炎引起的二尖瓣反流(MR)而进行二尖瓣置换术的病例。总之,虽然该病通常症状轻微,但可导致严重的并发症,包括叠加细菌性心内膜炎、血栓栓塞事件以及严重的瓣膜反流和/或狭窄,需要进行手术治疗。
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Heart Valve Involvement (Mitral Valve Regurgitation) Caused by Libman–Sacks Endocarditis in Systemic Lupus Erythematosus : A Case Report and Review of the Literature
Libman–Sacks (LS) endocarditis is one of the most common cardiac manifestations of both systemic lupus erythematosus (SLE) and the antiphospholipid syndrome (APS). We report a case of mitral valve replacement for mitral regurgitation (MR) caused by Libman-Sacks endocarditis in young patient with systemic lupus erythematosus (SLE). In conclusion, Although typically mild and asymptomatic, the disease can lead to serious complications, including superimposed bacterial endocarditis, thromboembolic events, and severe valvular regurgitation and/or stenosis requiring surgery.
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