Nonbacterial Thrombotic Endocarditis Leading to Acute Heart Failure due to Aortic Stenosis in a Patient with Lung Cancer

Daisuke Taniyama; Ryusuke Yamamoto; Maki Kawasaki; Hirofumi Kamata; Keisuke Miyamoto; Shuko Mashimo; Fumio Sakamaki

doi:10.2169/internalmedicine.52.0123

CASE REPORTS

Nonbacterial Thrombotic Endocarditis Leading to Acute Heart Failure due to Aortic Stenosis in a Patient with Lung Cancer

Daisuke Taniyama, Ryusuke Yamamoto, Maki Kawasaki, Hirofumi Kamata, Keisuke Miyamoto, Shuko Mashimo, Fumio Sakamaki

Author information

Keywords: acute aortic stenosis, acute heart failure (AHF), lung cancer, nonbacterial thrombotic endocarditis (NBTE)

JOURNAL OPEN ACCESS

2013 Volume 52 Issue 14 Pages 1617-1620

DOI https://doi.org/10.2169/internalmedicine.52.0123

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Abstract

We herein report an autopsied case of a patient with adenocarcinoma of the lungs who developed nonbacterial thrombotic endocarditis (NBTE) that caused acute heart failure (AHF) due to acute aortic stenosis (AS). A 37-year-old man was admitted to our hospital due to chest pain and fever. He was diagnosed as having Stage IV lung cancer. Following the administration of chemotherapy, the patient presented with acute onset of dyspnea. He was diagnosed with having AHF based on his clinical course and physical findings, and ultimately he died without responding to treatment. The autopsy revealed that NBTE caused acute AS leading to AHF.

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