Nonbacterial thrombotic endocarditis with embolic cerebral v
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"Nonbacterial thrombotic endocarditis (NBTE) is characterized by deposition of sterile platelet and fibrin thrombi on valvular structures, which are prone to embolism and most commonly involve the cerebrovascular circulation.NBTE is not uncommon in patients with advanced mucin-secreting ovarian adenocarcinomas, and a few case reports have shown an association with ovarian clear cell cancer .A 68-year-old Caucasian female developed shortness of breath in May 2010. Computed tomography (CT) of the chest, abdomen and pelvis revealed a pulmonary embolus (PE) in the right lower lobe pulmonary artery, a 16.6 × 13.1 cm pelvic mass, retroperitoneal lymphadenopathy, right pleural effusion, and a right pleural-based mass measuring 1.8 × 1.3 cm. CA-125 tumor marker was elevated at 358 U/mL. The patient was placed on dalteparin for PE management. One month later she underwent exploratory laparotomy with total abdominal hysterectomy, bilateral salpingo-oophorectomy, bilateral ureterolysis, para-aortic lymph node dissection, ablation of diaphragmatic nodules, and liver right lobe wedge resection. Pathology revealed stage IVB OCCC. Of note, the patient underwent prophylactic inferior vena cava filter placement preoperatively and was started on enoxaparin following complete gross surgical debulking."....

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4899414/
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