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Ann Thorac Surg 2005;79:2145-2147
© 2005 The Society of Thoracic Surgeons

Case report

Recurrent Embolism in the Course of Marantic Endocarditis

Andreas Borowski, MDa,*, Ali Ghodsizad, MDa, Mathias Cohnen, MDb, Emmeran Gams, MDa

a Department of Thoracic and Cardiovascular Surgery, University of Düesseldorf, Düesseldorf, Germany
b Institute of Diagnostic Radiology, University of Düesseldorf, Düesseldorf, Germany

Accepted for publication December 10, 2003.

* Address reprint requests to Dr Borowski, Klinik für Thorax- und Kardiovaskularchirurgie der Universität Düsseldorf, Germany Moorenstrasse 5, 40225, Düesseldorf, Germany (E-mail: dr.borowski{at}t-online.de).

Marantic or nonbacterial thrombotic endocarditis (NBTE) associated with systemic embolism is usually a complication of advanced or terminal malignancies. We report on the case of a 46-year-old woman in whom nonbacterial thrombotic endocarditis (NBTE)-related cerebral embolism was the first clinical sign of ovarian neoplasm, which was diagnosed after cardiac surgery. Marantic endocarditis should alert the physician to make every effort to diagnose the possible background of this clinical phenomenon. Early identification of NBTE, treatment of the underlying disease, and the associated coagulopathy could possibly prevent cardiac surgery.




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J. Clin. Oncol., March 10, 2008; 26(8): 1383 - 1385.
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