En busca de la fuente embólica: endocarditis marántica

• Villar García, Ione ^[1] ; Ramírez Batista, José Eduardo ^[1] ; Gutiérrez Fernández, Alejandro ^[1] ; Castillo Álvarez, Federico ^[1] ; Azcárate Agüero, Pedro María ^[1]
  1. [1] Hospital San Pedro

     Hospital San Pedro

     Logroño, España

     
• Localización: Revista de Ecocardiografía práctica y otras Técnicas de Imagen Cardíaca (RETIC), ISSN-e 2529-976X, Vol. 3, Nº. 3 (diciembre 2020-marzo 2021), 2020 (Ejemplar dedicado a: Journal of Practical Echocardiography and Other Cardiac Imaging Techniques), págs. 13-15
• Idioma: español
• Títulos paralelos:
  • The search of the embolic source: marantic endocarditis.
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• Resumen
  • español

    Presentamos el caso de una paciente de 58 años de edad con ictus isquémicos multiterritoriales diagnosticada de endocarditis marántica en el contexto de estado protrombótico secundario a carcinoma de endometrio.

  • English

    We present the case of a 58-year-old patient with ischemic stroke in multiple territories who was finally diagnosedwith marantic endocarditis in the context of the prothrombotic state caused by an endometrial carcinoma. The diagnosis of marantic endocarditis is challenging for the clinician because it is a disease that usually has late and aggressive symptoms. The finding of vegetations on the echocardiogram in the absence of systemic infection in high-risk patients is the basis for the diagnosis. It is a disease that has a poor prognosis in the short term, so it is crucial to have a high index of clinical suspicion.