Lambl's excrescences: a rare cause of stroke.
Cardiogenic cerebral embolism is believed to be responsible over 25% of all ischemic strokes. Since 1856, Lambl's description of small excrescences on the aortic valves has attracted widespread attention and controversy. With the increasing use of transesophageal echocardiography, ever-increasing valvular strands are being detected. The case is presented of a cardioembolic stroke secondary to Lambl's excrescences in a 59-year-old man. In addition, the current concepts regarding the importance of recognizing these valvular strands are discussed, and a brief review of the topic is provided.
Department of Internal Medicine, Michigan State University/Kalamazoo Center for Medical Studies, Kalamazoo, MI, USA. jkalavakunta@gmail.com
Jagadeesh K
JK
Kalavakunta
Prashanth
P
Peddi
Viswaroop
V
Bantu
Hemasri
H
Tokala
Mihas
M
Kodenchery
D000925:Anticoagulants / Q000627:therapeutic use; D001021:Aortic Valve / Q000000981:diagnostic imaging* / Q000473:pathology*; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008875:Middle Aged; D055502:Secondary Prevention; D020521:Stroke / Q000175:diagnosis* / Q000209:etiology* / Q000517:prevention & control; D014859:Warfarin / Q000627:therapeutic use
D000925:Anticoagulants; D014859:Warfarin