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Valvular Excrescences: A Possible Transient Phenomenon

Peter Marstrand1, Maiken Brit Jensen2, Nikolaj Ihlemann1

  • 1Department of Cardiology, The Heart Centre, University Hospital of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark.

Case Reports in Cardiology
|December 10, 2015
PubMed

The thrombogenic potential of Lambl excrescences (LE) is minimal unlike the benign tumour fibroelastoma wherefrom thrombi often originate. We present a patient with multiple strokes within a six-year period. A possible locus on the aortic valve was found and diagnosed as fibroelastoma. Before aortic valve substitution prior finding could not be visualized and surgery was aborted. Due to review of earlier Transesophageal Echocardiography (TEE) and the transient component, LE was accepted as the most plausible diagnosis. This illustrates the need for TEE just before surgery.

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