Asploro Cardiovascular Case Reports and Research

Asploro Cardiovascular Case Reports and Research

Marguerite Téning Diouf^1*, Joseph Salvator Mingou¹, Michel Ngonar Sarr¹, Malick Ndiaye¹, Ndeye Faye¹, Aimé Mbaye Sy¹, Daouda Timera¹, Aliou Alassane Ngaidé¹, Fatou Aw², Abdoul Kane^1
1Cardiology Dalal Jamm Hospital, Dakar, Senegal
²Cardiology Department Teaching Hospital Aristide Le Dantec, Dakar, Senegal

Corresponding Author: Marguerite Téning Diouf
Address: Cardiology Dalal Jamm Hospital, Dakar 10200, Senegal.
Received date: 16 March 2024; Accepted date: 11 June 2024; Published date: 17 June 2024

Citation: Diouf MT, Mingou JS, Sarr MN, Ndiaye M, Faye N, Sy AM, Timera D, Ngaidé AA, Aw F, Kane A. Marantic Endocarditis Associated with Metastatic Fibrolamellar Hepatocellular Carcinoma in a Young Adult: About a Case. Asp Cardio Case Rep and Res. 2024 Jun 17;1(1):1-4.

Copyright © 2024 Diouf MT, Mingou JS, Sarr MN, Ndiaye M, Faye N, Sy AM, Timera D, Ngaidé AA, Aw F, Kane A. This is an open-access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium provided the original work is properly cited.

Keywords: Marantic Endocarditis, Non-Bacterial Thrombotic Endocarditis, Hepatocellular Carcinoma, Young Adult

Abstract

We describe the case of a 21-year-old patient presenting with marantic endocarditis of the aortic valve occurring in the context of underlying metastatic fibrolamellar hepatocellular carcinoma. The patient was admitted due to a pulmonary embolism complicating deep vein thrombosis in the right lower limb. Upon admission, the patient was hemodynamically stable and afebrile, with a poor general condition. Physical examination revealed a painful swelling in the right lower limb extending up to the thigh, hepatomegaly suggestive of a tumor, and moderate ascites. Cardiac auscultation did not reveal any murmurs or abnormal sounds. Laboratory tests showed a non-specific inflammatory syndrome, and blood cultures were negative. The electrocardiogram indicated regular sinus tachycardia. Echocardiography revealed a mobile, hyperechoic mass located on the ventricular aspect of the aortic valve, without regurgitation or stenosis. The patient was started on heparin therapy. Unfortunately, the patient passed away at home two weeks later, and no autopsy was performed.