Treatment of Non-bacterial Thrombotic Endocarditis in Advanced and Non-Curable Cancer

Non-bacterial thrombotic endocarditis in the setting of advanced and non-curable cancer requires a carefully considered clinical approach. The overall prognosis of the underlying malignancy substantially determines what interventions are appropriate.

Clinical Scenario

This protocol applies to patients with advanced and non-curable cancer who develop non-bacterial thrombotic endocarditis. In this population, surgery is unlikely to influence the final outcome and is also not expected to prevent recurrent embolisation.

Management Approach

Management centres on correcting the underlying cause. Surgical intervention is not undertaken in this setting.

The complete structured protocol with the full clinical decision pathway is available below.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1016/j.ejcts.2007.07.029

In patients with advanced and non-curable cancers, surgery is unlikely to influence the final outcome and also not prevent recurrent embolisation.
Correction of the underlying cause is of paramount importance.

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