TY - JOUR T1 - Novel expression of VCAM-1 on the mitral valve in a patient with primary antiphospholipid antibody syndrome JF - Heart JO - Heart SP - e10 LP - e10 DO - 10.1136/heart.84.5.e10 VL - 84 IS - 5 AU - M Suguta AU - Y Hoshino AU - S Naito Y1 - 2000/11/01 UR - http://heart.bmj.com/content/84/5/e10.abstract N2 - A 48 year old Japanese man was admitted to our institute with orthopnoea. He had undergone coronary angioplasty for acute myocardial infarction six months before and had not had a follow up since that time. A chest radiograph showed severe pulmonary vascular congestion. No significant coronary lesions were seen on coronary angiography. Detailed transoesophageal echocardiography revealed a thickened mitral leaflet with poor coaptation with severe regurgitation, and a dilated left atrium (Fig 1A). Left ventricular function was preserved (ejection fraction 50%). Laboratory testing revealed thrombocytopenia and the presence of serum lupus anticoagulant … ER -