Anesthetic Experience of Patient with Lambl's Excrescences
Keywords:embolism, stroke, echocardiography
Lamblâ€™s excrescences(LE) are mobile, thin, filiform structures that occur at sites of valve closure. LE are mostly asymptomatic but atheroma from LE may embolize to cerebrovascular arterial territory causing stroke. A 79 year old man with mechanical ileus of small bowel loop and pelvic mass scheduled for palliative enteroenterostomy. His transthoracic echocardiography showed a filiform hyperechoic mass attached to the tip of noncoronary cusp, suggestive of LE. To prevent cardioembolic stroke during perioperative period, we tried to prevent blood pressure fluctuation during surgery. Also we monitored regional cerebral oxygen saturation by cerebral/somaticÂ oximeter for early detection of cerebral ischemia. A patient had no neurological changes and signs of cerebral infarction after surgery.
Lambl VA. Papillare excrescenzen und der semilunar-klappe der aorta. Wien Med Wochenschr.
; 16 :244â€“247.
Aziz F, Baciewicz FA. Lamblâ€™s excrescences: review and recommendations. Tex Heart Inst J, 2007;
Voros S, Nanda NC, Thakur AC et al: Lamblâ€™s excrescences (valvular strands). Echocardiography, 1999; 16: 399â€“414
Amstrong W, Ryan T. Feigenbaumâ€™s Echocardiography 7th ed. Lippincott Williams & Wilkins.
; 11: 293
Chu A, Aung TT, Sahalon H, Choksi V, Feiz H. Lambl's Excrescence Associated with Cryptogenic Stroke: A Case Report and Literature Review. Am J Case Rep. 2015; 16:876â€“881.
Kamran H, Patel N, Singh G, Pasricha V, Salifu M, et al. (2016) Lambl's excrescences: A case report and review of the literature. Clinical case reports and reviews 2: 486.
Davogustto G, Fernando RR, Loghin C (2015) Lambl's excrescence, migrainous headaches, and â€œtiger stripesâ€: puzzling findings in one patient. Tex Heart Inst J 42: 70â€“72.
How to Cite
Copyright (c) 2020 Nam Yung Kim, Seongsik Kang
This work is licensed under a Creative Commons Attribution-NoDerivatives 4.0 International License.
- Papers must be submitted on the understanding that they have not been published elsewhere (except in the form of an abstract or as part of a published lecture, review, or thesis) and are not currently under consideration by another journal published by any other publisher.
- It is also the authors responsibility to ensure that the articles emanating from a particular source are submitted with the necessary approval.
- The authors warrant that the paper is original and that he/she is the author of the paper, except for material that is clearly identified as to its original source, with permission notices from the copyright owners where required.
- The authors ensure that all the references carefully and they are accurate in the text as well as in the list of references (and vice versa).
- Authors retain copyright and grant the journal right of first publication with the work simultaneously licensed under a Attribution-NonCommercial 4.0 International that allows others to share the work with an acknowledgement of the work's authorship and initial publication in this journal.
- Authors are able to enter into separate, additional contractual arrangements for the non-exclusive distribution of the journal's published version of the work (e.g., post it to an institutional repository or publish it in a book), with an acknowledgement of its initial publication in this journal.
- Authors are permitted and encouraged to post their work online (e.g., in institutional repositories or on their website) prior to and during the submission process, as it can lead to productive exchanges, as well as earlier and greater citation of published work (See The Effect of Open Access).
- The journal/publisher is not responsible for subsequent uses of the work. It is the author's responsibility to bring an infringement action if so desired by the author.