Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl's Excrescence. (22nd November 2016)

• Record Type: Journal Article
• Authors: Pizzuti, Alfredo; Parisi, Francesco; Mosso, Luciano; Cali' Quaglia, Francesca; Tomasello, Antonino
• Other Names: Movahed Assad Academic Editor.
• Is Part Of: Case reports in cardiology. Volume 2016(2016)
• Publication Date: 2016-11-22
• Subjects: Cardiology -- Periodicals; 616.12005
• DOI: 10.1155/2016/8370212
• Languages: English
• ISSNs: 2090-6404

Abstract

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.