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 an...

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Autores principales: Pizzuti, Alfredo, Parisi, Francesco, Mosso, Luciano, Cali' Quaglia, Francesca, Tomasello, Antonino
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Hindawi Publishing Corporation 2016
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5138484/
https://www.ncbi.nlm.nih.gov/pubmed/27994887
http://dx.doi.org/10.1155/2016/8370212
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author Pizzuti, Alfredo
Parisi, Francesco
Mosso, Luciano
Cali' Quaglia, Francesca
Tomasello, Antonino
author_facet Pizzuti, Alfredo
Parisi, Francesco
Mosso, Luciano
Cali' Quaglia, Francesca
Tomasello, Antonino
author_sort Pizzuti, Alfredo
collection PubMed
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.
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spelling pubmed-51384842016-12-19 Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl's Excrescence Pizzuti, Alfredo Parisi, Francesco Mosso, Luciano Cali' Quaglia, Francesca Tomasello, Antonino Case Rep Cardiol Case Report 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. Hindawi Publishing Corporation 2016 2016-11-22 /pmc/articles/PMC5138484/ /pubmed/27994887 http://dx.doi.org/10.1155/2016/8370212 Text en Copyright © 2016 Alfredo Pizzuti et al. https://creativecommons.org/licenses/by/4.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
spellingShingle Case Report
Pizzuti, Alfredo
Parisi, Francesco
Mosso, Luciano
Cali' Quaglia, Francesca
Tomasello, Antonino
Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl's Excrescence
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
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5138484/
https://www.ncbi.nlm.nih.gov/pubmed/27994887
http://dx.doi.org/10.1155/2016/8370212
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