151. [Ischemic strokes as a presenting feature of marantic endocarditis despite heparin treatment].
- Author
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Pons F, Poyet R, Daranda E, Prunet B, Jego C, Boret H, Meaudre E, Goutorbe P, and Cellarier GR
- Subjects
- Aged, Anticoagulants therapeutic use, Brain Ischemia prevention & control, Female, Heparin therapeutic use, Humans, Male, Middle Aged, Stroke prevention & control, Treatment Failure, Brain Ischemia etiology, Endocarditis, Non-Infective complications, Endocarditis, Non-Infective diagnosis, Stroke etiology
- Abstract
We report on two patients hospitalized in intensive care unit for ischemic strokes presenting the feature of marantic endocarditis complicating lung's adenocarcinoma. These two cases turned out to be very interesting because of the occurrence of ischemic strokes even though the patients were receiving the recommended treatment, namely anticoagulation with heparin, in well-adjusted doses. The management of nonbacterial thrombotic endocarditis remains a challenge and its mortality is still high., (Copyright © 2010 Elsevier Masson SAS. All rights reserved.)
- Published
- 2011
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