Cardiogenic Shock and Mitral Valve Chord Rupture: A Rare Presentation of Libman-Sacks Endocarditis

Joshua Lampert; Michael Halista; Elisabet Pujadas; Steven Alexander; Benjamin Bier; Michael Hadley; Michael Healy; Fahd Yunus; Martin Goldman; Valentin Fuster

doi:10.1016/j.jaccas.2020.06.044

Cardiogenic Shock and Mitral Valve Chord Rupture: A Rare Presentation of Libman-Sacks Endocarditis

JACC Case Rep. 2020 Sep 9;2(12):1988-1991. doi: 10.1016/j.jaccas.2020.06.044. eCollection 2020 Oct.

Affiliations

¹ Mount Sinai Heart, New York, New York.
² Icahn School of Medicine at Mount Sinai, Department of Internal Medicine, New York, New York.
³ Department of Pathology, Icahn School of Medicine at Mount Sinai, New York, New York.

Abstract

Distinguishing Libman-Sacks endocarditis from other valvular heart disease etiologies has important implications for management. We present a case of a 23-year-old man who presented in extremis with fever and cardiogenic shock caused by Libman-Sacks endocarditis with associated mitral valve chord rupture. (Level of Difficulty: Beginner.).

Keywords: APLS, antiphospholipid syndrome; HACEK, Haemophilus, Aggregatibacter, Cardiobacterium, Eikenella, Kingella; IE, infective endocarditis; LSE, Libman-Sacks endocarditis; SLE, systemic lupus erythematosus; aortic valve; endocarditis; mitral valve.

Publication types

Case Reports