Key result
A 71-year-old male with nonbacterial thrombotic endocarditis involving both the tricuspid and aortic valves was diagnosed and discharged on anticoagulation therapy with low molecular weight heparin.
Case Report (n=1)
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This case demonstrates a rare presentation of nonbacterial thrombotic endocarditis affecting both the tricuspid and aortic valves, resulting in both pulmonary and systemic emboli.
A 71-year-old male presented after sudden onset of confusion and expressive aphasia. MRI head revealed multiple ischemic lesions consistent with cardio-embolic pathophysiology. A computed tomography angiography of lung showed peripheral pulmonary emboli. He underwent a transesophageal echocardiogram as a part of the stroke workup and was found to have vegetations on both aortic and tricuspid valves. The blood cultures did not show any growth, and the patient remained afebrile during the course of hospitalization. A diagnosis of nonbacterial thrombotic embolism was made, and he was discharged on anticoagulation therapy with subcutaneous low molecular heparin.
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Bhardwaj et al. (2016) conducted a case report in Nonbacterial thrombotic endocarditis (n=1). Subcutaneous low molecular weight heparin was evaluated. A 71-year-old male with nonbacterial thrombotic endocarditis involving both the tricuspid and aortic valves was diagnosed and discharged on anticoagulation therapy with low molecular weight heparin.
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