Accidente cerebrovascular embolico por endocarditis trombotica no bacteriana en pacientes con síndrome antifosfolipido
Keywords:
acv, endocarditis, safAbstract
Resumen
El sindrome antifosfolipídico es una trombofilia adquirida, de etiología autoinmune, considerada actualmente una enfermedad sistémica. Exponemos el caso clínico de una paciente joven con diagnóstico de SAF que presentó una endocarditis trombótica no bacteriana como afectación cardiovascular-valvular con complicación embólica y accidente cerebrovascular (ACV) consecuente. Revisamos la literatura destacando los mecanismos fisiopatológcos que permiten comprender la enfermedad y sus complicaciones, los elementos diagnósticos y su valor pronóstico así como las diferentes opciones terapéuticas tanto médicas como quirúrgicas.
Abstract
Stroke and APS.
Embolic stroke by thrombotic non bacterial endocarditis in a Antiphospholipid Syndrome patient.
The antiphospholipid síndrome(APS) is an adquaried trombophilia, considered a systemic autoinmune disorder.We report a patient with APS who presented multiple cerebral infarcts(stroke) as a complication of a thrombotic non bacterial endocarditis.
We review the literature focused on the physiological mechanism that produce this desease and its complications. Clinical features and their pronostic value and the different therapeutic options where also studied.
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