Texas Heart Institute journal
The most recent articles from:
Tex Heart Inst J
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Editorial Historical Article
Medical education on the brink: 62 years of front-line observations and opinions.
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Case Reports
Double-valve Libman-Sacks endocarditis causing ventricular fibrillation cardiac arrest.
Libman-Sacks endocarditis is a well-known and rather common cardiac manifestation of systemic lupus erythematosus. Transesophageal and transthoracic echocardiography are the definitive imaging methods used to evaluate cardiac valvular involvement in this disease. Valvular masses (vegetations) and valvular thickening are 2 common morphologic echocardiographic patterns. ⋯ This compromised coronary blood flow and resulted in ventricular fibrillation cardiac arrest. The vegetations were surgically excised, and the patient's cardiac function recovered. We discuss the treatment of the patient and that of Libman-Sacks endocarditis.