title: Thrombo-embolic cerebral infarction secondary to giant Lambl's excrescence.
abstract: Lambl's excrescences are common fibrinous strands found at the contact margin of cardiac valves. They are referred to as "giant" when multiple strands form a complex. Embolic stroke secondary to these valvular strands has rarely been described in the literature. We present a patient with recurrent thrombo-embolic cerebral infarction secondary to giant Lambl's excrescence successfully treated with anticoagulation.
authors.affiliation: Department of Neurology, Auckland City Hospital, Private Bag 92024, Auckland 1124, New Zealand. Electronic address: teddyyhwu@gmail.com.
authors.forename: Teddy Y
authors.initials: TY
authors.lastname: Wu
authors.forename: Ivor L
authors.initials: IL
authors.lastname: Gerber
authors.forename: Richard H
authors.initials: RH
authors.lastname: Roxburgh
mesh_terms: D000368:Aged; D002544:Cerebral Infarction / Q000209:etiology*; D015897:Comorbidity; D017548:Echocardiography, Transesophageal; D005260:Female; D006349:Heart Valve Diseases / Q000150:complications*; D006801:Humans; D006973:Hypertension / Q000453:epidemiology; D020521:Stroke / Q000209:etiology*; D013923:Thromboembolism / Q000209:etiology*
keywords: Anticoagulation; Lambl’s excrescence; Stroke