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Granulomatous endocarditis in a patient with Wegener's granulomatosis. 2011
Tadashi Omoto, and
Takeo Tedoriya, and
Noboru Ishikawa, and
Tadamasa Miyauchi, and
Naoko Nagano, and
Masaya Oi
Division of Thoracic and Cardiovascular Surgery, Department of Surgery, Showa University School of Medicine, Tokyo, Japan.
Echocardiographic examination of patients with granulomatous endocarditis in patients with Wegener's granulomatosis (WG) reveals vegetation-like lesions that may be misdiagnosed as infective endocarditis resulting in inappropriate therapy. Three-dimensional transesophageal echocardiography aids differential diagnosis. Here, we report the case of a WG patient with associated mitral and aortic granulomatous endocarditis. Although the patient was treated with prednisolone and cyclophosphamide, serial echocardiography did not reveal any significant changes in disease course.
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