Ischemic strokes as a presenting feature of marantic endocarditis despite heparin treatment

We report on two patients hospitalized in intensive care unit for ischemic strokes presenting the feature of marantic endocarditis complicating lung's adenocarcinoma. These two cases turned out to be very interesting because of the occurrence of ischemic strokes even though the patients were re...

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Bibliographic Details
Published inAnnales de cardiologie et d'angeiologie Vol. 60; no. 4; p. 233
Main Authors Pons, F, Poyet, R, Daranda, E, Prunet, B, Jego, C, Boret, H, Meaudre, E, Goutorbe, P, Cellarier, G-R
Format Journal Article
LanguageFrench
Published France 01.08.2011
Subjects
Aged
Anticoagulants - therapeutic use
Brain Ischemia - etiology
Brain Ischemia - prevention & control
Endocarditis, Non-Infective - complications
Endocarditis, Non-Infective - diagnosis
Female
Heparin - therapeutic use
Humans
Male
Middle Aged
Stroke - etiology
Stroke - prevention & control
Treatment Failure
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Summary:We report on two patients hospitalized in intensive care unit for ischemic strokes presenting the feature of marantic endocarditis complicating lung's adenocarcinoma. These two cases turned out to be very interesting because of the occurrence of ischemic strokes even though the patients were receiving the recommended treatment, namely anticoagulation with heparin, in well-adjusted doses. The management of nonbacterial thrombotic endocarditis remains a challenge and its mortality is still high.
ISSN:1768-3181
DOI:10.1016/j.ancard.2010.07.013