Title |
Severe mitral stenosis as the first manifestation of systemic lupus erythematosus in a 20-year-old woman: the value of magnetic resonance imaging in the diagnosis of Libman-Sacks endocarditis
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Published in |
The International Journal of Cardiovascular Imaging, April 2014
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DOI | 10.1007/s10554-014-0418-8 |
Pubmed ID | |
Authors |
Hervé Gouya, Laure Cabanes, Luc Mouthon, Alain Pavie, Paul Legmann, Olivier Vignaux |
Abstract |
We report a case of severe mitral stenosis caused by Libman-Sacks endocarditis, as an initial manifestation of systemic lupus erythematosus (SLE) in a 20-year-old woman. Cardiac magnetic resonance imaging (MRI) demonstrated a thickening of the mitral valve with basal endocardial thickening exhibiting defect on first-pass perfusion short-axis acquisition and delayed enhancement in keeping with extensive fibrous endocarditis. The patient underwent successful mechanical mitral valve replacement. This case illustrates that MRI is useful in diagnosing this recognised but uncommon cardiac complication of SLE and excluding differential diagnosis such as valve tumour and infective endocarditis with perivalvular abscesses. |
X Demographics
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United States | 1 | 100% |
Demographic breakdown
Type | Count | As % |
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Members of the public | 1 | 100% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
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Unknown | 17 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
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Researcher | 4 | 24% |
Student > Ph. D. Student | 3 | 18% |
Student > Bachelor | 3 | 18% |
Other | 1 | 6% |
Student > Master | 1 | 6% |
Other | 1 | 6% |
Unknown | 4 | 24% |
Readers by discipline | Count | As % |
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Medicine and Dentistry | 8 | 47% |
Pharmacology, Toxicology and Pharmaceutical Science | 1 | 6% |
Physics and Astronomy | 1 | 6% |
Environmental Science | 1 | 6% |
Unknown | 6 | 35% |