Non-bacterial thrombotic endocarditis
2007; Oxford University Press; Volume: 32; Issue: 5 Linguagem: Inglês
10.1016/j.ejcts.2007.07.029
ISSN1873-734X
AutoresSanjay Asopa, Anish Patel, Omar Khan, Rajan Sharma, Sunil K. Ohri,
Tópico(s)Actinomycetales infections and treatment
ResumoNon-bacterial thrombotic endocarditis (NBTE) is a disease characterised by the presence of vegetations on cardiac valves, which consist of fibrin and platelet aggregates and devoid of inflammation or bacteria. NBTE has increasingly been recognised as a condition associated with numerous diseases and a potentially life-threatening source of thromboembolism. NBTE is not a common entity; however it is frequently underestimated, probably due to underlying diseases (cancer, autoimmune disorders, HIV). NBTE is difficult to diagnose and relies on strong clinical suspicion. NBTE is also difficult to manage and each case should be individually managed by identifying and treating the underlying pathology. Surgical intervention is not recommended unless the patient is in acute congestive failure.
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