An Autopsy Case of Lambl's Excrescences with Trousseau Syndrome that Caused Cardioembolic Stroke

The frequency and risk of embolism by Lambl's excrescences (LEs) remain unclear. We herein report an autopsy case of LEs that caused cardioembolic stroke. A 74-year-old man with colon cancer was hospitalized for ischemic stroke. His D-dimer levels were elevated. Thus, a diagnosis of ischemic st...

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Autores principales: Hirayama, Takehisa, Morioka, Harumi, Fujiwara, Hideomi, Iwamoto, Konosuke, Kiyozuka, Tetsuhito, Takeo, Hiroteru, Ikeda, Ken, Kano, Osamu
Formato: Online Artículo Texto
Lenguaje:English
Publicado: The Japanese Society of Internal Medicine 2020
Materias:
Case Report
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7759709/
https://www.ncbi.nlm.nih.gov/pubmed/32759591
http://dx.doi.org/10.2169/internalmedicine.5162-20
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author Hirayama, Takehisa
Morioka, Harumi
Fujiwara, Hideomi
Iwamoto, Konosuke
Kiyozuka, Tetsuhito
Takeo, Hiroteru
Ikeda, Ken
Kano, Osamu
author_facet Hirayama, Takehisa
Morioka, Harumi
Fujiwara, Hideomi
Iwamoto, Konosuke
Kiyozuka, Tetsuhito
Takeo, Hiroteru
Ikeda, Ken
Kano, Osamu
author_sort Hirayama, Takehisa
collection PubMed
description The frequency and risk of embolism by Lambl's excrescences (LEs) remain unclear. We herein report an autopsy case of LEs that caused cardioembolic stroke. A 74-year-old man with colon cancer was hospitalized for ischemic stroke. His D-dimer levels were elevated. Thus, a diagnosis of ischemic stroke with Trousseau syndrome was made. At the autopsy, we found LEs in the aortic valves and thromboembolism of the brain blood vessels. This finding demonstrated that fibrin clots had adhered to the LEs because of coagulation abnormalities associated with Trousseau syndrome and became embolized. This case highlights the risk of LEs in patients with coagulation abnormalities.
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spelling pubmed-77597092020-12-31 An Autopsy Case of Lambl's Excrescences with Trousseau Syndrome that Caused Cardioembolic Stroke Hirayama, Takehisa Morioka, Harumi Fujiwara, Hideomi Iwamoto, Konosuke Kiyozuka, Tetsuhito Takeo, Hiroteru Ikeda, Ken Kano, Osamu Intern Med Case Report The frequency and risk of embolism by Lambl's excrescences (LEs) remain unclear. We herein report an autopsy case of LEs that caused cardioembolic stroke. A 74-year-old man with colon cancer was hospitalized for ischemic stroke. His D-dimer levels were elevated. Thus, a diagnosis of ischemic stroke with Trousseau syndrome was made. At the autopsy, we found LEs in the aortic valves and thromboembolism of the brain blood vessels. This finding demonstrated that fibrin clots had adhered to the LEs because of coagulation abnormalities associated with Trousseau syndrome and became embolized. This case highlights the risk of LEs in patients with coagulation abnormalities. The Japanese Society of Internal Medicine 2020-08-04 2020-12-01 /pmc/articles/PMC7759709/ /pubmed/32759591 http://dx.doi.org/10.2169/internalmedicine.5162-20 Text en Copyright © 2020 by The Japanese Society of Internal Medicine https://creativecommons.org/licenses/by-nc-nd/4.0/ The Internal Medicine is an Open Access journal distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License. To view the details of this license, please visit (https://creativecommons.org/licenses/by-nc-nd/4.0/).
spellingShingle Case Report
Hirayama, Takehisa
Morioka, Harumi
Fujiwara, Hideomi
Iwamoto, Konosuke
Kiyozuka, Tetsuhito
Takeo, Hiroteru
Ikeda, Ken
Kano, Osamu
An Autopsy Case of Lambl's Excrescences with Trousseau Syndrome that Caused Cardioembolic Stroke
title An Autopsy Case of Lambl's Excrescences with Trousseau Syndrome that Caused Cardioembolic Stroke
title_full An Autopsy Case of Lambl's Excrescences with Trousseau Syndrome that Caused Cardioembolic Stroke
title_fullStr An Autopsy Case of Lambl's Excrescences with Trousseau Syndrome that Caused Cardioembolic Stroke
title_full_unstemmed An Autopsy Case of Lambl's Excrescences with Trousseau Syndrome that Caused Cardioembolic Stroke
title_short An Autopsy Case of Lambl's Excrescences with Trousseau Syndrome that Caused Cardioembolic Stroke
title_sort autopsy case of lambl's excrescences with trousseau syndrome that caused cardioembolic stroke
topic Case Report
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7759709/
https://www.ncbi.nlm.nih.gov/pubmed/32759591
http://dx.doi.org/10.2169/internalmedicine.5162-20
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