Thrombo-embolic cerebral infarction secondary to giant Lambl's excrescence

Teddy Y Wu1, Ivor L Gerber, Richard H Roxburgh

  • 1Department of Neurology, Auckland City Hospital, Private Bag 92024, Auckland 1124, New Zealand.

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.

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