Nonbacterial Thrombotic Endocarditis in a Patient with Bowel Infarction due to Mesenteric Vein Thrombosis

• Published in: Korean circulation journal Vol. 44; no. 3; pp. 189 - 192
• Main Authors: Kim, Hyue Mee, Kim, Hack-Lyoung, Lee, Hak Seung, Jung, Ji-Hyun, Kim, Chee Hae, Oh, Sooyeon, Kim, Jung Ho, Zo, Joo-Hee
• Format: Journal Article
• Language: English
• Published: Korea (South) The Korean Society of Cardiology 01.05.2014; 대한심장학회
• Subjects: Case Report; 내과학; Endocarditis, non-infective; Venous thrombosis; Echocardiography
• ISSN: 1738-5520; 1738-5555
• DOI: 10.4070/kcj.2014.44.3.189

Ante mortem cases of venous thrombosis in patients with nonbacterial thrombotic endocarditis (NBTE) have not yet been reported. We describe a rare case of NBTE in a patient with mesenteric vein thrombosis. A healthy 37-year-old man with abdominal pain and fever underwent emergency small bowel resection due to bowel ischemia resulting from mesenteric vein thrombosis. Transthoracic echocardiography revealed multiple mobile masses attached to the anterior leaflet of the mitral valves and their chordae tendineae. On suspicion of infective endocarditis, the cardiac masses were excised through open-heart surgery. However, pathologic reviews were compatible with NBTE. The patient was stable after the cardiac surgery and was treated with warfarin. Laboratory and imaging findings regarding his hypercoagulable condition were all negative.