{
  "abstract": "Non-bacterial thrombotic endocarditis (NBTE) associated with cholangiocarcinoma is rare, with only a few case reports described. The diagnosis is usually made after a thrombotic event or stroke. We report the case of a 44-year-old South African woman who presented with cardiogenic shock and ST elevation while receiving rivaroxaban for a recent pulmonary embolism. Autopsy revealed myocardial embolization secondary to NBTE associated with cholangiocarcinoma. This case highlights the value of point-of-care echocardiography in ruling out complications or alternative diagnoses in atypical presentations of acute coronary syndrome. Furthermore, it underscores that, in NBTE, anticoagulation with heparin is the preferred regimen.",
  "abstract_shown": true,
  "affiliations": [
    "Department of Cardiovascular Intensive Care, Cliniques Universitaires Saint-Luc, Brussels, BEL",
    "Department of Pathology, Cliniques Universitaires Saint-Luc, Brussels, BEL"
  ],
  "article_type": "case report",
  "arxiv": null,
  "author_total": 5,
  "authors": [
    {
      "affs": [
        0
      ],
      "name": "Colin Hannesse"
    },
    {
      "affs": [
        0
      ],
      "name": "Francesca Chiara Della Casa"
    },
    {
      "affs": [
        1
      ],
      "name": "Selda Aydin"
    },
    {
      "affs": [
        1
      ],
      "name": "Pamela Baldin"
    },
    {
      "affs": [
        1
      ],
      "name": "Anja Kerschen"
    }
  ],
  "bibtex": "https://research.draconitic.com/paper/6nfarmz3q2gqq.bib",
  "cited_by": 0,
  "doi": "10.7759/cureus.117501",
  "fulltext_url": "https://pmc.ncbi.nlm.nih.gov/articles/PMC13734395/",
  "id": "6nfarmz3q2gqq",
  "issns": [
    "2168-8184"
  ],
  "landing_url": "https://doi.org/10.7759/cureus.117501",
  "language": "en",
  "licence": "CC-BY-4.0",
  "licence_label": "CC BY 4.0",
  "licence_source": "article",
  "licence_url": "https://creativecommons.org/licenses/by/4.0/",
  "metadata_licence": null,
  "native_subjects": [
    [
      "heading",
      "Cardiology"
    ],
    [
      "heading",
      "Emergency Medicine"
    ],
    [
      "heading",
      "Oncology"
    ],
    [
      "openalex",
      "2705|Infective Endocarditis Diagnosis and Management"
    ]
  ],
  "openalex": "W7220381311",
  "pdf_url": "https://www.cureus.com/articles/539199-non-bacterial-thrombotic-endocarditis-presenting-as-cardiogenic-shock-with-anterior-st-elevation-revealing-an-occult-cholangiocarcinoma-a-case-report.pdf",
  "pmcid": "PMC13734395",
  "pmid": "42985284",
  "published": "2026-10-05",
  "publisher": "Cureus Inc.",
  "ris": "https://research.draconitic.com/paper/6nfarmz3q2gqq.ris",
  "sources": [
    {
      "first_seen": "2026-11-08T12:23:56Z",
      "native_id": "PMC13734395",
      "source": "pmc",
      "url": "https://doi.org/10.7759/cureus.117501"
    }
  ],
  "subjects": [
    {
      "field": "medicine",
      "origin": "heading:Cardiology",
      "subfield": "cardiovascular"
    },
    {
      "field": "medicine",
      "origin": "heading:Oncology",
      "subfield": "oncology"
    }
  ],
  "title": "Non-bacterial Thrombotic Endocarditis Presenting as Cardiogenic Shock With Anterior ST Elevation Revealing an Occult Cholangiocarcinoma: A Case Report",
  "title_text": "Non-bacterial Thrombotic Endocarditis Presenting as Cardiogenic Shock With Anterior ST Elevation Revealing an Occult Cholangiocarcinoma: A Case Report",
  "type": "peer-reviewed",
  "updated_at": "2026-11-08T12:23:56Z",
  "url": "https://research.draconitic.com/paper/6nfarmz3q2gqq",
  "venue": "Cureus",
  "versions": []
}