Key result
Emergency repair successfully treats LV free-wall rupture and aortic valve vegetation in NBTE.
Why the study?
Non-bacterial thrombotic endocarditis is a rare and often asymptomatic condition with complex diagnosis and management, and its acute presentations are not well characterized.
Case Report (n=1)
This case highlights a previously unreported acute presentation of non-bacterial thrombotic endocarditis complicated by left ventricular free-wall rupture.
May support emergency surgery in NBTE with rupture; leaves open generalizability and optimal management.
Non-bacterial thrombotic endocarditis (NBTE) is a rare, often asymptomatic, condition. A 55-year-old woman presented with hemiparesis, facial palsy and chest pain. After urgent investigation, she was referred as a case of type A aortic dissection complicated by tamponade, myocardial infarction and stroke. Review of her imaging identified haemopericardium but no dissection, and emergency surgery proceeded considering her unstable condition. She underwent an emergency repair of left-ventricular free-wall rupture and excision of an aortic valve vegetation. Postoperative investigations confirmed a diagnosis of NBTE in the setting of a plexiform neurofibroma, and she was discharged 9 weeks later with residual neurological symptoms. This case poses a previously unreported acute presentation of NBTE and highlights the complexities in its diagnosis and management.
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Mohamed et al. (2022) conducted a case report in Non-bacterial thrombotic endocarditis (n=1). Emergency repair of left-ventricular free-wall rupture and excision of aortic valve vegetation was evaluated. Emergency repair of a left-ventricular free-wall rupture and excision of an aortic valve vegetation was successfully performed in a 55-year-old woman with non-bacterial thrombotic endocarditis.
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