E-page Original Images: Libman-Sacks endocarditis mimicking cardiac myxoma

Antiphospholipid syndrome (APS) has been defined as venous or arterial thrombosis, recurrent fetal loss, or thrombocytopenia accompanied by increased levels of anticardiolipin antibodies (ACA) and the lupus anticoagulant (LA) can be seen as primary or secondary to systemic lupus erythematosus (SLE). Libman-Sacks endocarditis, non-bacterial verrucous vegetative endocarditis, is regarded as a cardiac manifestation of both SLE and APS. Here we report a case, who had not been diagnosed SLE or APS previously, presenting with cerebrovascular event. The patient was 64-year-old woman was referred our institution after a transient ischemic attack with temporary right hemiplegia. On examination a blowing systolic murmur at the apex radiating to the left axilla was heard.