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Ann Thorac Surg 2009;88:669-671. doi:10.1016/j.athoracsur.2008.11.074
© 2009 The Society of Thoracic Surgeons

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Uday P. Dandekar
Kirkpatrick C. Santo
Sunil Bhudia
Stephen J. Rooney
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Case Reports

Aortic Valve Replacement for Libman-Sacks Endocarditis

Uday P. Dandekar, FRCS (CTh)*, Richard Watkin, MRCP, Navin Chandra, MRCP, Kirkpatrick C. Santo, FRCS, Sunil Bhudia, FRCS, Michael Pitt, MRCP, Stephen J. Rooney, FRCS (CTh)

Department of Cardiothoracic Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, United Kingdom

Accepted for publication November 10, 2008.

* Address correspondence to Dr Dandekar, Department of Cardiothoracic Surgery, Queen Elizabeth Hospital, Edgbaston, Birmingham, B15 2TH, United Kingdom (Email: uday.dandekar{at}uhb.nhs.uk).

Cardiac involvement is a recognized complication of systemic lupus erythematosus (SLE), which can involve most cardiac components, including pericardium, conduction system, myocardium, heart valves, and coronaries. Libman-Sacks (verrucous) endocarditis is the characteristic cardiac valvular manifestation. We report a patient with SLE who had severe aortic regurgitation caused by Libman-Sacks endocarditis. The patient underwent successful mechanical aortic valve replacement.







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