Skip to content
DraconiticResearch
Search Sources API
203,234 studies31 sourcesUpdated 41 min ago
Peer-reviewedCC BY 4.0Cureus

Non-bacterial Thrombotic Endocarditis Presenting as Cardiogenic Shock With Anterior ST Elevation Revealing an Occult Cholangiocarcinoma: A Case Report

  • Colin Hannesse1
  • Francesca Chiara Della Casa1
  • Selda Aydin2
  • Pamela Baldin2
  • Anja Kerschen2
  1. 1Department of Cardiovascular Intensive Care, Cliniques Universitaires Saint-Luc, Brussels, BEL
  2. 2Department of Pathology, Cliniques Universitaires Saint-Luc, Brussels, BEL
Read full textPDFDOICite

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.

Related

  1. Loeffler endocarditis complicated by cardiogenic shock and angioinvasive Fusarium fujikuroi infection: a case report.
    Jack Simmons, Ahmed K Saleh, Preston Nicely +2
    European heart journal. Case reportsPeer-reviewedCC BYFull textCardiovascular medicineEurope PMC
  2. Renal-Limited Thrombotic Microangiopathy Presenting as Acute on Chronic Kidney Failure in the Absence of Schistocytosis
    Raylee E Warren, Gloria Elizondo, Kyle Mitchell +4
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMC
  3. Blood culture-positive Aspergillus niger native aortic valve endocarditis presenting as acute lower limb ischemia: a case report.
    Silvia Taurian, Matthias Neuböck, Mohsen Alavian +1
    Medical mycology case reportsPeer-reviewedCC BY-NC-NDFull textEpidemiology & public healthEurope PMC
  4. Infective Endocarditis Presenting with Rapidly Progressive Cerebral Microbleeds and Multiple Intracerebral Hemorrhages: A Case Report
    Kazumasa Sekiguchi, Jun Sawada, Kosuke Matsuzono +5
    Internal MedicinePeer-reviewedCC BY-NC-NDFull textEpidemiology & public healthJ-STAGE
  5. Combined Vitamin B12 and Folate Deficiency Presenting As Pseudo-Thrombotic Microangiopathy With a Disseminated Intravascular Coagulation (DIC)-Like Coagulation Profile: A Case Report
    Moutaz W Sweileh, Hisham Asaad, Aya Abdi
    CureusPeer-reviewedCC BYFull textGeneral medicineEurope PMCEurope PMCPMC

Cite

BibTeXRIS
BibTeX
@article{hannesse2026nonbacterial,
  title = {{Non-bacterial Thrombotic Endocarditis Presenting as Cardiogenic Shock With Anterior ST Elevation Revealing an Occult Cholangiocarcinoma: A Case Report}},
  author = {Colin Hannesse and Francesca Chiara Della Casa and Selda Aydin and Pamela Baldin and Anja Kerschen},
  journal = {Cureus},
  year = {2026},
  month = oct,
  doi = {10.7759/cureus.117501},
  url = {https://doi.org/10.7759/cureus.117501},
  note = {CC BY 4.0},
}
RIS
TY  - JOUR
TI  - Non-bacterial Thrombotic Endocarditis Presenting as Cardiogenic Shock With Anterior ST Elevation Revealing an Occult Cholangiocarcinoma: A Case Report
AU  - Colin Hannesse
AU  - Francesca Chiara Della Casa
AU  - Selda Aydin
AU  - Pamela Baldin
AU  - Anja Kerschen
PY  - 2026
DA  - 2026/10/05
JO  - Cureus
DO  - 10.7759/cureus.117501
UR  - https://doi.org/10.7759/cureus.117501
AB  - 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.
SN  - 2168-8184
ER  -