Recurrent nonbacterial thrombotic endocarditis and stroke on anticoagulation.
Sijan BasnetThomas StaufferAmar JayswalBiswaraj TharuPublished in: Journal of community hospital internal medicine perspectives (2020)
We present a rare case of recurrent nonbacterial thrombotic endocarditis (NBTE) and stroke despite anticoagulation. A 48-year-old man with history of antiphospholipid syndrome, prior nonbacterial aortic valve endocarditis status post valve replacement and prior stroke was found to have acute ischemic stroke while on apixaban and nonbacterial thrombotic endocarditis of mitral valve. This was initially managed conservatively with therapeutic dose of enoxaparin, but the patient later underwent mitral valve replacement. Unfortunately, the patient later passed away with hemorrhagic stroke while on enoxaparin.
Keyphrases
- atrial fibrillation
- mitral valve
- aortic valve
- venous thromboembolism
- left atrial
- acute ischemic stroke
- rare case
- transcatheter aortic valve replacement
- transcatheter aortic valve implantation
- heart failure
- catheter ablation
- left ventricular
- case report
- aortic valve replacement
- coronary artery disease
- brain injury
- blood brain barrier