open access

Vol 68, No 6 (2010)
Chorzy trudni nietypowi
Published online: 2010-06-17
Submitted: 2012-12-28
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Uncommon presentation of venous thromboembolism and fatal systemic emboli in a patient with nonbacterial thrombotic endocarditis due to pancreatic cancer

Waldemar Elikowski, Stanisław Łazowski, Małgorzata Małek, Dariusz Wróblewski, Ewa Kuźniacka-Kaczor, Marcin Skowroński
Kardiol Pol 2010;68(6):678-683.

open access

Vol 68, No 6 (2010)
Chorzy trudni nietypowi
Published online: 2010-06-17
Submitted: 2012-12-28

Abstract

In the presented case of a 60-year-old man, deep vein thrombosis and pulmonary embolism symptoms preceded pancreatic cancer diagnosis. An unexpected echocardiographic finding was a longitudinal mass attached to the tricuspid valve, and extending to the pulmonary artery — suggestive of a thrombus (as confirmed further autopsy), probably embolic in origin. This uncommon situation might be due to nonbacterial thrombotic endocarditis, which involved all, but mainly tricuspid and aortic valves. During heparin therapy the patient’s haemodynamic status was stable until systemic emboli occurred with multifocal ischaemic stroke that was the cause of death.
Kardiol Pol 2010; 68, 6: 678-683

Abstract

In the presented case of a 60-year-old man, deep vein thrombosis and pulmonary embolism symptoms preceded pancreatic cancer diagnosis. An unexpected echocardiographic finding was a longitudinal mass attached to the tricuspid valve, and extending to the pulmonary artery — suggestive of a thrombus (as confirmed further autopsy), probably embolic in origin. This uncommon situation might be due to nonbacterial thrombotic endocarditis, which involved all, but mainly tricuspid and aortic valves. During heparin therapy the patient’s haemodynamic status was stable until systemic emboli occurred with multifocal ischaemic stroke that was the cause of death.
Kardiol Pol 2010; 68, 6: 678-683
Get Citation

Keywords

tricuspid valve thrombus; nonbacterial thrombotic endocarditis; pancreatic cancer

About this article
Title

Uncommon presentation of venous thromboembolism and fatal systemic emboli in a patient with nonbacterial thrombotic endocarditis due to pancreatic cancer

Journal

Kardiologia Polska (Polish Heart Journal)

Issue

Vol 68, No 6 (2010)

Pages

678-683

Published online

2010-06-17

Bibliographic record

Kardiol Pol 2010;68(6):678-683.

Keywords

tricuspid valve thrombus
nonbacterial thrombotic endocarditis
pancreatic cancer

Authors

Waldemar Elikowski
Stanisław Łazowski
Małgorzata Małek
Dariusz Wróblewski
Ewa Kuźniacka-Kaczor
Marcin Skowroński

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