@article{ajmcr2016436,
author={{Kariyanna, Pramod Theetha and Jayaranagaiah, Apoorva and Kats, Yuliya and Sharma, Abhishek},
title={Recurrent Cardio-embolic Cerebrovascular Accidents due to Lambl¡¯s Excrescences?},
journal={American Journal of Medical Case Reports},
volume={4},
number={3},
pages={93--96},
year={2016},
url={http://pubs.sciepub.com/ajmcr/4/3/6},
issn={2374-216X},
abstract={Cerebrovascular accidents (strokes) are leading cause of morbidity and mortality in the United States of America. Cardioembolic strokes account for one-third of cerebrovascular accidents. Lambl¡¯s excrescences are filiform projections on the native cardiac valves; they are attributed as a rare cause of cardioembolic strokes. They are a result of endothelial damage secondary to valve wear and tear. Lambl¡¯s excrescences as a cause of cardioembolic stroke is debated. Lambl¡¯s excrescences are a frequent appearance on echocardiography. We here present a case of recurrent cardioembolic strokes in whom lambl¡¯s excrescences on aortic valves were detected on transesophageal echocardiography. Previous transthoracic echocardiography in the patient had not revealed lambl¡¯s excrescences owing to their low sensitivity. Patient refused aortic valve replacement and medical management of cerebrovascular accident was continued.},
doi={10.12691/ajmcr-4-3-6}
publisher={Science and Education Publishing}
}