Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl’s Excrescence

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 pati...

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Main Authors: Alfredo Pizzuti, Francesco Parisi, Luciano Mosso, Francesca Cali’ Quaglia, Antonino Tomasello
Format: Article
Language:English
Published: Wiley 2016-01-01
Series:Case Reports in Cardiology
Online Access:http://dx.doi.org/10.1155/2016/8370212
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author Alfredo Pizzuti
Francesco Parisi
Luciano Mosso
Francesca Cali’ Quaglia
Antonino Tomasello
author_facet Alfredo Pizzuti
Francesco Parisi
Luciano Mosso
Francesca Cali’ Quaglia
Antonino Tomasello
author_sort Alfredo Pizzuti
collection DOAJ
description 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.
format Article
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institution Kabale University
issn 2090-6404
2090-6412
language English
publishDate 2016-01-01
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series Case Reports in Cardiology
spelling doaj-art-e8572d10d5eb4e3096d16af6069806302025-02-03T05:44:47ZengWileyCase Reports in Cardiology2090-64042090-64122016-01-01201610.1155/2016/83702128370212Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl’s ExcrescenceAlfredo Pizzuti0Francesco Parisi1Luciano Mosso2Francesca Cali’ Quaglia3Antonino Tomasello4Division of Cardiology, Mauriziano Hospital, Torino, ItalyDivision of Cardiothoracic Surgery, Mauriziano Hospital, Torino, ItalyUnit of Pathology, Mauriziano Hospital, Torino, ItalyDivision of Cardiology, Mauriziano Hospital, Torino, ItalyDivision of Cardiology, Mauriziano Hospital, Torino, ItalyA 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.http://dx.doi.org/10.1155/2016/8370212
spellingShingle Alfredo Pizzuti
Francesco Parisi
Luciano Mosso
Francesca Cali’ Quaglia
Antonino Tomasello
Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl’s Excrescence
Case Reports in Cardiology
title Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl’s Excrescence
title_full Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl’s Excrescence
title_fullStr Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl’s Excrescence
title_full_unstemmed Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl’s Excrescence
title_short Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl’s Excrescence
title_sort acute myocardial infarction in a patient with two vessel occlusion and a large lambl s excrescence
url http://dx.doi.org/10.1155/2016/8370212
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