Valvulitis Requiring Triple Valve Surgery as an Initial Presentation of Systemic Lupus Erythematosus

Eldad Einav, Alon Gitig, L. Manuela Marinescu, Kathryn E. Tanaka, Daniel M. Spevack

Research output: Contribution to journalArticlepeer-review

9 Scopus citations


Cardiac involvement is common in systemic lupus erythematosus. Classically, the term "verrucous endocarditis" was used to describe the noninfective vegetations seen on pathological inspection of heart valves. The wide use of echocardiography has led to increased frequency of detection of valve abnormalities, most commonly leaflet thickening. The vast majority of patients with systemic lupus erythematosus and valvular involvement are asymptomatic, with only a small minority progressing to hemodynamically significant pathology, generally after long disease duration. We report a patient with systemic lupus erythematosus and associated antiphospholipid syndrome, whose first presentation of disease consisted of severe, symptomatic valvular regurgitation of the mitral, aortic, and tricuspid valves requiring triple valve surgery.

Original languageEnglish (US)
Pages (from-to)1315.e1-1315.e3
JournalJournal of the American Society of Echocardiography
Issue number11
StatePublished - Nov 2007

ASJC Scopus subject areas

  • Radiology Nuclear Medicine and imaging
  • Cardiology and Cardiovascular Medicine


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