Ischemic Stroke From Libman-Sacks Endocarditis Not Associated With Antiphospholipid Antibodies

Ischemic Stroke From Libman-Sacks Endocarditis Not Associated With Antiphospholipid Antibodies

Libman-Sacks endocarditis (LSE), a cardiac complication of systemic lupus erythematosus, is commonly treated with anticoagulation for stroke prevention. We describe a patient with multifocal strokes secondary to LSE, treated with aspirin, without further recurrence. Our case highlights the importanc...

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Bibliographic Details
Main Authors: Michal Krawczyk, MD, MSc, Adrian Budhram, MD, Luciano A. Sposato, MD, MBA
Format: Article
Language:English
Published: Elsevier 2019-10-01
Series:JACC: Case Reports
Subjects:
anticoagulation
antiplatelet
aortic valve
endocarditis
secondary prevention
stroke
Online Access:http://www.sciencedirect.com/science/article/pii/S2666084919302487
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spelling doaj-69fefc716e494a4c9292d0a8546568662021-06-07T06:54:18ZengElsevierJACC: Case Reports2666-08492019-10-0113297300Ischemic Stroke From Libman-Sacks Endocarditis Not Associated With Antiphospholipid AntibodiesMichal Krawczyk, MD, MSc0Adrian Budhram, MD1Luciano A. Sposato, MD, MBA2Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Address for correspondence: Dr. Michal Krawczyk, Western University, Department of Clinical Neurological Sciences, Schulich School of Medicine & Dentistry, 339 Windermere Road, London, Ontario N6A 5A5, Canada.Department of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, CanadaDepartment of Clinical Neurological Sciences, Schulich School of Medicine and Dentistry, Western University, London, Ontario, Canada; Stroke, Brain, and Heart Disease Laboratory, Western University, London, Ontario, CanadaLibman-Sacks endocarditis (LSE), a cardiac complication of systemic lupus erythematosus, is commonly treated with anticoagulation for stroke prevention. We describe a patient with multifocal strokes secondary to LSE, treated with aspirin, without further recurrence. Our case highlights the importance of nuanced decision-making regarding antithrombotic choices for stroke prevention in LSE. (Level of Difficulty: Intermediate.)http://www.sciencedirect.com/science/article/pii/S2666084919302487anticoagulationantiplateletaortic valveendocarditissecondary preventionstroke
collection DOAJ
language English
format Article
sources DOAJ
author Michal Krawczyk, MD, MSc
Adrian Budhram, MD
Luciano A. Sposato, MD, MBA
spellingShingle Michal Krawczyk, MD, MSc
Adrian Budhram, MD
Luciano A. Sposato, MD, MBA
Ischemic Stroke From Libman-Sacks Endocarditis Not Associated With Antiphospholipid Antibodies
JACC: Case Reports
anticoagulation
antiplatelet
aortic valve
endocarditis
secondary prevention
stroke
author_facet Michal Krawczyk, MD, MSc
Adrian Budhram, MD
Luciano A. Sposato, MD, MBA
author_sort Michal Krawczyk, MD, MSc
title Ischemic Stroke From Libman-Sacks Endocarditis Not Associated With Antiphospholipid Antibodies
title_short Ischemic Stroke From Libman-Sacks Endocarditis Not Associated With Antiphospholipid Antibodies
title_full Ischemic Stroke From Libman-Sacks Endocarditis Not Associated With Antiphospholipid Antibodies
title_fullStr Ischemic Stroke From Libman-Sacks Endocarditis Not Associated With Antiphospholipid Antibodies
title_full_unstemmed Ischemic Stroke From Libman-Sacks Endocarditis Not Associated With Antiphospholipid Antibodies
title_sort ischemic stroke from libman-sacks endocarditis not associated with antiphospholipid antibodies
publisher Elsevier
series JACC: Case Reports
issn 2666-0849
publishDate 2019-10-01
description Libman-Sacks endocarditis (LSE), a cardiac complication of systemic lupus erythematosus, is commonly treated with anticoagulation for stroke prevention. We describe a patient with multifocal strokes secondary to LSE, treated with aspirin, without further recurrence. Our case highlights the importance of nuanced decision-making regarding antithrombotic choices for stroke prevention in LSE. (Level of Difficulty: Intermediate.)
topic anticoagulation
antiplatelet
aortic valve
endocarditis
secondary prevention
stroke
url http://www.sciencedirect.com/science/article/pii/S2666084919302487
work_keys_str_mv AT michalkrawczykmdmsc ischemicstrokefromlibmansacksendocarditisnotassociatedwithantiphospholipidantibodies
AT adrianbudhrammd ischemicstrokefromlibmansacksendocarditisnotassociatedwithantiphospholipidantibodies
AT lucianoasposatomdmba ischemicstrokefromlibmansacksendocarditisnotassociatedwithantiphospholipidantibodies
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