Three‐Dimensional Echocardiographic Assessment of Lambl's Excrescences on the Aortic Valve

Samal, Aditya K.; Nanda, Navin C.; Thakur, Abhash C.; Narayan, Virenjan Kumar; Ocak, Özlem Karaca; Lee, Tao Yu; Vörös, Szilárd; Jindal, Ajay; Winokar, Thomas S.

doi:10.1111/j.1540-8175.1999.tb00089.x

Cited by 5 publications

(4 citation statements)

References 2 publications

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“…However, as this case shows, small tumours, especially those located subvalvular, can be very difficult to visualise by echo 12. In this patient, only one tumour on the chordae tendineae was observed by TOE, while during surgery multiple smaller tumours were detected.…”

Section: Discussionmentioning

confidence: 61%

Multiple Lambl's excrescences with subvalvular extension, a rare cause of cryptogenic stroke: treated by port-access cardiac surgery

Al-Ansari¹,

Hindori²,

Riezebos³

et al. 2013

BMJ Case Reports

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SUMMARYA young male patient was evaluated for a cardiac cause of ischaemic stroke. In the work-up, a tumour was detected on the subvalvular apparatus of the mitral valve for which operative removal was scheduled. A portaccess procedure was applied as a novel way of treatment. On thoracoscopic intracardiac inspection, however, multiple tumours were seen attached to the chordae tendineae and to the anterior leaflet of the mitral valve. It was decided to not to perform a plasty but to remove the valve in toto and insert a mechanical valve prosthesis. The tumours were diagnosed as multiple giant Lambl's excrescences. BACKGROUND

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Section: Discussionmentioning

confidence: 61%

Multiple Lambl's excrescences with subvalvular extension, a rare cause of cryptogenic stroke: treated by port-access cardiac surgery

Al-Ansari¹,

Hindori²,

Riezebos³

et al. 2013

BMJ Case Reports

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“…LE have been described using transthoracic echocardiography and two‐dimensional (2D) and three‐dimensional (3D) transesophageal echocardiography (TEE) modalities. On the other hand, although echocardiography texts establish that the NA are better visualized by TEE, only intra‐operative visualization has been specifically recorded in the peer‐reviewed literature.…”

mentioning

confidence: 99%

Incremental Value of Three‐Dimensional Transesophageal Echocardiography over Two‐Dimensional Transesophageal Echocardiography in the Assessment of Lambl's Excrescences and Nodules of Arantius on the Aortic Valve

Dumaswala

Hsiung

et al. 2013

Echocardiography

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In this retrospective study, we identified 7 cases where Lambl's excrescences were identified by two-dimensional transesophageal echocardiography (2DTEE) and also had live/real time three-dimensional transesophageal echocardiography (3DTEE) studies available for comparison. We subsequently assessed them for the presence of Lambl's excrescences (LE) and nodules of Arantius (NA) on the aortic valve. After their identification, we qualitatively and quantitatively organized our findings by number, cusp location, measurements, and orientation if applicable. A greater number of LE was found by 3DTEE than 2DTEE (19 vs. 11, respectively). In all 3DTEE studies, their cusp attachment site, their x-, y-, and z-axis measurements, and orientation were clearly visualized and described. Only 3DTEE studies provided confident visualization of the cusp attachment sites. Similarly, a greater number of NA was found by 3DTEE than 2DTEE (21 vs. 5, respectively). The triad of NA was visualized in all 3DTEE studies and each was described using its x-, y-, and z- axis measurements. Only three 2DTEE studies provided reliable identification of the NA. In conclusion, we present further evidence of the incremental value of 3DTEE over 2DTEE in the qualitative and quantitative assessment of cardiac structures including LE and NA on the aortic valve.

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“…These echocardiographic findings are not seen with other discrete valvular lesions and tumors such as vegetations, sclerotic or calcified nodules, thrombi, Lambl's excrescences, and myxomas (Figure 3). 4–6 None of them typically present with a constellation of findings consisting of multiple finger‐like projections and central echogenic areas. In addition, clinical and laboratory findings of an infective process often associated with vegetations will be absent in a papillary fibroelastoma.…”

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confidence: 99%

“…1999;16:437–441. 4 Figure 3B reproduced with permission from Nanda NC, Sorrell VL, eds. Atlas of Three‐Dimensional Echocardiography.…”

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confidence: 99%

Definitive Diagnosis of Aortic Valve Papillary Fibroelastoma by Three‐Dimensional Transesophageal Echocardiography

Dod

Nanda

Pacifico

et al. 2003

American J Geri Cardiology

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Three‐Dimensional Echocardiographic Assessment of Lambl's Excrescences on the Aortic Valve

Abstract: The present case reports demonstrate the incremental value of three-dimensional echocardiography over multiplane transesophageal two-dimensional imaging in the assessment of Lambl's excrescences (strands) involving the aortic valve.

Cited by 5 publications

References 2 publications

Multiple Lambl's excrescences with subvalvular extension, a rare cause of cryptogenic stroke: treated by port-access cardiac surgery

Multiple Lambl's excrescences with subvalvular extension, a rare cause of cryptogenic stroke: treated by port-access cardiac surgery

Incremental Value of Three‐Dimensional Transesophageal Echocardiography over Two‐Dimensional Transesophageal Echocardiography in the Assessment of Lambl's Excrescences and Nodules of Arantius on the Aortic Valve

Definitive Diagnosis of Aortic Valve Papillary Fibroelastoma by Three‐Dimensional Transesophageal Echocardiography

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