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Cardiology Research and Practice
Volume 2010, Article ID 319732, 3 pages
Case Report

Primary Coronary Embolism as an Unusual Manifestation of Nonbacterial Thrombotic Endocarditis in a Patient with Gastric Cancer

Department of Cardiac Surgery, University of Bari Medical School, 70122 Bari, Italy

Received 31 October 2009; Accepted 17 February 2010

Academic Editor: Syed Wamique Yusuf

Copyright © 2010 Giovanni Ferlan et al. 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.


Nonbacterial thrombotic endocarditis (NBTE) is a rare clinical condition characterized by the presence of sterile vegetations on valvular leaflets Gross and Friedberg (1936). The most frequent cause of NBTE is antiphospholipid syndrome Hughson and et al. (1993); malignancy, through an intrinsic condition of hypercoagulability, is the second most common cause Thomas (2001). Systemic thromboembolic complications are frequently associated with this condition, but coronary embolism is not common. We report the case of a patient with NBTE secondary to gastric adenocarcinoma with clinical symptoms of coronary and systemic emboli.