Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl’s ExcrescenceReportar como inadecuado

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Case Reports in Cardiology - Volume 2016 2016, Article ID 8370212, 6 pages -

Case Report

Division of Cardiology, Mauriziano Hospital, Torino, Italy

Division of Cardiothoracic Surgery, Mauriziano Hospital, Torino, Italy

Unit of Pathology, Mauriziano Hospital, Torino, Italy

Received 29 August 2016; Revised 22 October 2016; Accepted 25 October 2016

Academic Editor: Assad Movahed

Copyright © 2016 Alfredo Pizzuti 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.


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.

Autor: Alfredo Pizzuti, Francesco Parisi, Luciano Mosso, Francesca Cali’ Quaglia, and Antonino Tomasello



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