Valvular involvement in granulomatosis with polyangiitis: Case report and systematic review of literature

被引:11
|
作者
Al-Habbaa, Ahmed [1 ]
Rawla, Prashanth [2 ]
Morra, Mostafa Ebraheem [3 ]
Abotaha, Ahmed Ahmed [4 ]
Sakr, Eman El-Sayed [5 ]
Shehata, Mostafa Ahmed Abdo [6 ]
Shahin, Karim Mohamed [6 ]
Mageed, Sarah Abdel [7 ]
Nguyen Tien Huy [8 ,9 ]
机构
[1] Al Azhar Univ, Cardiol Dept, Fac Med, Cairo, Egypt
[2] SOVAH Heath, Dept Internal Med, Martinsville, VA USA
[3] Al Azhar Univ, Fac Med, Cairo 11884, Egypt
[4] Al Azhar Univ, Fac Med, Internal Med Dept, Cairo, Egypt
[5] Menoufia Univ, Fac Med, Menoufia, Egypt
[6] Alexandria Univ, Fac Med, Alexandria, Egypt
[7] Tanta Univ, Internal Med Dept, Fac Med, Tanta, Egypt
[8] Nagasaki Univ, Leading Grad Sch Program, Inst Trop Med NEKKEN, Dept Clin Prod Dev, Nagasaki, Japan
[9] Nagasaki Univ, Grad Sch Biomed Sci, Nagasaki, Japan
关键词
endocardial valves; Granulomatosis with polyangiitis; Tricuspid valve; Wegener's granulomatosis; MITRAL-VALVE INVOLVEMENT; WEGENERS-GRANULOMATOSIS; AORTIC-VALVE; ENDOCARDITIS; PATIENT; INSUFFICIENCY; DISEASE;
D O I
10.1111/echo.14094
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
BackgroundGranulomatosis with polyangiitis (GPA) is a systemic inflammatory condition; however, patients with GPA rarely experience endocardial valve lesions. MethodsWe report a GPA case with tricuspid valve destruction together with a systematic review to highlight the characteristics of all previously reported GPA cases with valvular involvement. ResultsAmong 36 cases included, the aortic valve was involved in 15 (41.7%) cases while the mitral valve was involved in 9 (25%) subjects. Combined lesion of both aortic and mitral valves was reported in 9 (25%) patients. ConclusionWe recommend routine echocardiography examination to rule out any cardiac valve lesion once GPA is suspected.
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页码:1456 / 1463
页数:8
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