TY - JOUR
T1 - Double valve replacement for lupus valvulitis. Report of a case and review of the literature
AU - Ferraris, V. A.
AU - Hawksley, V. C.
AU - Rabinowitz, M.
AU - Coyne, C. M.
AU - Sullivan, T. J.
AU - Sprague, M. S.
PY - 1990
Y1 - 1990
N2 - Hemodynamically significant lupus valvulitis, requiring valve replacement, is rare: 21 cases have been reported so far in the literature, and only 2 of these have involved double valve replacement. We describe an additional case of double valve replacement in a patient with systemic lupus erythematosus. The histopathologic and clinical features of this case suggest that valvular involvement resulted from both acute and chronic disease processes. Medical success in the treatment of systemic lupus erythematosus, especially that achieved through prolonged or high-dose steroid therapy, may cause chronic valvular disease to become a more common surgical problem. A review of the literature supports this contention.
AB - Hemodynamically significant lupus valvulitis, requiring valve replacement, is rare: 21 cases have been reported so far in the literature, and only 2 of these have involved double valve replacement. We describe an additional case of double valve replacement in a patient with systemic lupus erythematosus. The histopathologic and clinical features of this case suggest that valvular involvement resulted from both acute and chronic disease processes. Medical success in the treatment of systemic lupus erythematosus, especially that achieved through prolonged or high-dose steroid therapy, may cause chronic valvular disease to become a more common surgical problem. A review of the literature supports this contention.
KW - Lupus erythematosus, systemic
KW - bioprosthesis
KW - endocarditis
KW - heart valve disease
KW - heart valve prosthesis
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M3 - Article
C2 - 15227191
AN - SCOPUS:0025209968
SN - 0730-2347
VL - 17
SP - 56
EP - 60
JO - Texas Heart Institute Journal
JF - Texas Heart Institute Journal
IS - 1
ER -