Table of Contents Author Guidelines Submit a Manuscript
Case Reports in Cardiology
Volume 2015, Article ID 380765, 2 pages
http://dx.doi.org/10.1155/2015/380765
Case Report

Valvular Excrescences: A Possible Transient Phenomenon

1Department of Cardiology, The Heart Centre, University Hospital of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark
2Department of Thoracic Anaesthesiology, The Heart Centre, University Hospital of Copenhagen, Blegdamsvej 9, 2100 Copenhagen, Denmark

Received 9 October 2015; Accepted 3 November 2015

Academic Editor: Ming-Ren Chen

Copyright © 2015 Peter Marstrand et al. 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.

Abstract

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.