Libman-Sacks Endocardoma: Diagnosis During Life with Radiographic, Fluoroscopic, and Angiocardiographic Findings

Libman-Sacks endocarditis, usually an autopsy diagnosis and rarely causing clinical problems, was recently diagnosed pre-operatively in an 18-year-old black woman with systemic lupus erythematosus and mitral valve disease. Unusual intracardiac calcification was seen on fluoroscopy. Angiocardiograms revealed an intracardiac mass which was successfully removed and proved to be Libman-Sacks endocarditis.