Lambl's Excrescences (Valvular Strands).

作者: SZILARD VOROS , NAVIN C. NANDA , ABHASH C. THAKUR , THOMAS S. WINOKUR , ADITYA K. SAMAL

DOI: 10.1111/J.1540-8175.1999.TB00833.X

关键词:

摘要: We review the literature on Lambl's excrescences (valvular strands). With widespread use of cardiac imaging modalities, most importantly, with transesophageal echocardiography, abnormal valvular structures are frequently identified both native and prosthetic heart valves. However, there is no consensus in correct terminology these structures. The relationship between strands (the so-called excrescences) papillary fibroelastomas has not been well established. In this review, we attempt to summarize available echocardiographic descriptors gross macroscopic histological features addition, etiology, pathogenesis, clinical implications excrescences. Also, describe that help distinguish fibroelastomas. Because (Lambl's have implicated systemic thromboembolism, also management principles for patients strands; unfortunately, specific therapeutic guidelines can be proposed at present time.

参考文章(25)
Pedram Argani, Stephen Sternberg, Michael Burt, N. Adsay, David Klimstra, Metastatic adenocarcinoma involving a mesothelial/monocytic incidental cardiac excrescence (cardiac MICE) The American Journal of Surgical Pathology. ,vol. 21, pp. 970- 974 ,(1997) , 10.1097/00000478-199708000-00013
G. De Gevigney, R. Loire, J. Delaye, F. Boucher, P. Quinson, M. Perinetti, F. Delahaye, O. Jegaden, Tumeur fibreuse valvulaire aortique (excroissance de Lambl) enclavée dans la coronaire droite. A propos d'un cas. Archives Des Maladies Du Coeur Et Des Vaisseaux. ,vol. 89, pp. 1419- 1423 ,(1996)
Navin C. Nanda, Michael J. Domanski, Atlas of Transesophageal Echocardiography ,(1998)
WILLIAM MAXTED, NAVIN C. NANDA, KEE-SIK KIM, DEBASISH ROYCHOUDHURY, LUIZ PINHERIO, Transesophageal Echocardiography Identification and Validation of Individual Tricuspid Valve Leaflets Echocardiography-a Journal of Cardiovascular Ultrasound and Allied Techniques. ,vol. 11, pp. 585- 596 ,(1994) , 10.1111/J.1540-8175.1994.TB01102.X
F. R. Magarey, On the mode of formation of Lambl's excrescences and their relation to chronic thickening of the mitral valve. The Journal of Pathology and Bacteriology. ,vol. 61, pp. 203- 208 ,(1949) , 10.1002/PATH.1700610207
Ariela Pomerance, Papillary “tumours” of the heart valves The Journal of Pathology and Bacteriology. ,vol. 81, pp. 135- 140 ,(1961) , 10.1002/PATH.1700810116
VIRENJAN K. NARAYAN, ADITYA K. SAMAL, SZILARD VOROS, NAVIN C. NANDA, ABHASH C. THAKUR, Lambl's Excrescences Involving the Pulmonary Valve Detected by Transesophageal Echocardiography. Echocardiography-a Journal of Cardiovascular Ultrasound and Allied Techniques. ,vol. 16, pp. 35- 39 ,(1999) , 10.1111/J.1540-8175.1999.TB00783.X
Lars Olaison, Harriet Hogevik, Comparison of the von Reyn and Duke criteria for the diagnosis of infective endocarditis: a critical analysis of 161 episodes. Scandinavian Journal of Infectious Diseases. ,vol. 28, pp. 399- 406 ,(1996) , 10.3109/00365549609037927
Martyn R. Thomas, Aylliath G. Jayakrishnan, Jatin Desai, Mark J. Monaghan, David E. Jewitt, Transesophageal Echocardiography in the Detection and Surgical Management of a Papillary Fibroelastoma of the Mitral Valve Causing Partial Mitral Valve Obstruction Journal of the American Society of Echocardiography. ,vol. 6, pp. 83- 86 ,(1993) , 10.1016/S0894-7317(14)80260-5
R J Lee, T Bartzokis, T K Yeoh, H R Grogin, D Choi, I Schnittger, Enhanced detection of intracardiac sources of cerebral emboli by transesophageal echocardiography. Stroke. ,vol. 22, pp. 734- 739 ,(1991) , 10.1161/01.STR.22.6.734