A Rare Case of Florid Antineutrophil Cytoplasmic Autoantibody–Associated Vasculitis Involving Both Atrioventricular Valves Habib Khan, MRCS, Sanjay Chaubey,

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Presentation transcript:

A Rare Case of Florid Antineutrophil Cytoplasmic Autoantibody–Associated Vasculitis Involving Both Atrioventricular Valves Habib Khan, MRCS, Sanjay Chaubey, PhD, Rynda Nitiahpapand, MBChB, Jatin Desai, FRCS Cth The Annals of Thoracic Surgery Volume 102, Issue 2, Pages e87-e88 (August 2016) DOI: 10.1016/j.athoracsur.2015.12.044 Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 1 (A) Echocardiogram showing severely thickened anterior mitral leaflet (white arrow) with (B) resultant moderate to severe mitral regurgitation. (C) Intraoperative image of thickened mitral valve (triangle). (D) Valvular thickening extended through to septal leaflet of tricuspid valve (star). Pacing wires from previous pacemaker insertion are seen (gray arrows). The Annals of Thoracic Surgery 2016 102, e87-e88DOI: (10.1016/j.athoracsur.2015.12.044) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions

Fig 2 (A) Histologic examination showed dense inflammation with plasma cells and lymphocytes. In addition, there are multinucleate giant cells. (B) Immunostaining showed a mixture of T and B cells. The Annals of Thoracic Surgery 2016 102, e87-e88DOI: (10.1016/j.athoracsur.2015.12.044) Copyright © 2016 The Society of Thoracic Surgeons Terms and Conditions