Nonbacterial Thrombotic Endocarditis with Atypical Presentation as Overt Congestive Heart Failure.

ABSTRACT: Nonbacterial thrombotic endocarditis (NBTE) is a form of endocarditis associated with malignancy or autoimmune disorders. Diagnosis remains a challenge as patients are often asymptomatic up to embolic events or rarely, valve dysfunction. We report a case of NBTE with uncommon clinical presentation and identified with multimodal echocardiography. An 82-year-old man presented to our outpatient clinic reporting dyspnea. Past medical history included hypertension, diabetes, kidney disease, and unprovoked deep-vein thrombosis. On physical examination, he was apyretic, mildly hypotensive, and hypoxemic, had a systolic murmur and lower limbs edema. Transthoracic echocardiography revealed severe mitral regurgitation due to verrucous thickening of the free margin of both leaflets, increased pulmona

SUBMITTER: Restelli D 

PROVIDER: S-EPMC10041397 | biostudies-literature | 2022 Oct-Dec

REPOSITORIES: biostudies-literature