Volume 23, Issue 3 , Pages 341.e3-341.e5, March 2010
Isolated Tricuspid Valve Libman-Sacks Endocarditis and Valvular Stenosis: Unusual Manifestations of Systemic Lupus Erythematosus
The most common valves involved in systemic lupus erythematosus are the mitral and aortic valves. Although isolated tricuspid valve involvement is quite rare, the authors report such a case. A 42-year-old woman presented with exertional dyspnea and was found to have a cardiac murmur. Echocardiography showed a stenotic tricuspid valve with vegetations on all 3 cusps. No other valvular vegetation could be detected. Concomitant tricuspid regurgitation was noted too. Blood culture results were negative. Clinical findings and serologic tests confirmed the diagnosis of systemic lupus erythematosus. The patient was successfully treated with prednisolone and hydroxychloroquine, and follow-up echocardiography showed the disappearance of the vegetations.
Keywords: Systemic lupus erythematosus, Tricuspid valve stenosis, Libman-Sacks vegetations
To access this article, please choose from the options below
PII: S0894-7317(09)00811-6
doi:10.1016/j.echo.2009.09.004
© 2010 American Society of Echocardiography. Published by Elsevier Inc. All rights reserved.
Volume 23, Issue 3 , Pages 341.e3-341.e5, March 2010
