Mitral valve replacement in systemic lupus erythematosus associated libman–sacks endocarditis
Libman-Sacks endocarditis, first discovered in 1924, is a cardiac manifestation of systemic lupus erythematosus (SLE). Valvular involvement has been associated with SLE and antiphospholipid syndrome (APS). Mitral valve, especially its posterior leaflet, is most commonly involved. We report a case of a 34 year old woman with antiphospholipid antibody syndrome and SLE, who presented with mitral valve regurgitation. The patient underwent a prosthetic mitral valve replacement, with no followup complications. We suggest mechanical valve replacement employment in the management of mitral regurgitation in Libman-Sacks endocarditis, in view of the recent medical literature and our own case report.
J Saudi Heart Assoc
(2016). Mitral valve replacement in systemic lupus erythematosus associated libman–sacks endocarditis. J Saudi Heart Assoc, 28(2), 124-126.
Available at: http://ecommons.aku.edu/pakistan_fhs_mc_surg_surg/577