title: Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl's Excrescence.
abstract: A 59-year-old man underwent an echocardiography study after myocardial infarction and it showed a thin, mobile mass attached to the aortic valve. A diagnosis of Lambl's excrescence (LE) was suspected. Coronary occlusion as a consequence of embolism of LE's material could not be excluded and the patient underwent surgical excision. Histology confirmed the diagnosis; however a differential diagnosis with papillary fibroelastoma could not be established because both of these structures are histologically indistinguishable. A brief survey of the literature is presented. Evidence-based recommendations for treatment have not been established yet.
authors.affiliation: Division of Cardiology, Mauriziano Hospital, Torino, Italy.
authors.forename: Alfredo
authors.identifier: 0000-0002-1096-786X
authors.initials: A
authors.lastname: Pizzuti
authors.affiliation: Division of Cardiothoracic Surgery, Mauriziano Hospital, Torino, Italy.
authors.forename: Francesco
authors.initials: F
authors.lastname: Parisi
authors.affiliation: Unit of Pathology, Mauriziano Hospital, Torino, Italy.
authors.forename: Luciano
authors.initials: L
authors.lastname: Mosso
authors.affiliation: Division of Cardiology, Mauriziano Hospital, Torino, Italy.
authors.forename: Francesca
authors.initials: F
authors.lastname: Cali' Quaglia
authors.affiliation: Division of Cardiology, Mauriziano Hospital, Torino, Italy.
authors.forename: Antonino
authors.initials: A
authors.lastname: Tomasello