Nonbacterial thrombotic endocarditis in a patient with gastric cancer and SARS-CoV-2 infection.
Quentin BinetCéline GoffinetFrédérique-Estelle Etogo-AsseLeila ShazaPublished in: Clinical journal of gastroenterology (2021)
Nonbacterial thrombotic endocarditis, formerly known as marantic endocarditis, is a very rare complication of advanced malignancy and other hypercoagulable states in which sterile, fibrin vegetations develop on heart valve leaflets. The most common malignancies associated with this entity are lung, pancreatic and gastric cancer. It has also been described as a presentation of COVID-19, which is known to be frequently complicated with coagulopathy and thromboembolic events. We report the case of a 62 year-old female patient newly diagnosed with stage IV gastric cancer and acute SARS-CoV-2 infection, presenting with confusion and homonymous hemianopsia in the setting of multiple acute ischemic strokes complicating a nonbacterial thrombotic mitral endocarditis. Herein, we discuss the underlying pathophysiology and make the hypothesis that SARS-CoV-2 infection could have participated in the pathogenesis of nonbacterial thrombotic endocarditis in our patient suffering from a gastric cancer.
Keyphrases
- case report
- liver failure
- respiratory syndrome coronavirus
- mitral valve
- newly diagnosed
- sars cov
- coronavirus disease
- heart failure
- atrial fibrillation
- left ventricular
- aortic dissection
- intensive care unit
- aortic stenosis
- hepatitis b virus
- coronary artery disease
- left atrial
- ischemia reperfusion injury
- transcatheter aortic valve replacement
- blood brain barrier
- extracorporeal membrane oxygenation