Table 1.
Previously reported cases of Lambl’s excrescence.
| Reference | Patient demographics | Location | Presentation | Management | Follow-up outcome |
|---|---|---|---|---|---|
| Cha SD [11] (1981) | 54-year-old female | Papillary muscle and aortic valve | Incidental finding | Surgical excision | Not reported |
| Fitzgerald D [12] (1982) | 70-year-old male | unknown | Embolus to popliteal artery | Surveillance echocardiogram | Uneventful for 18-month periodic echocardiogram follow-up |
| Nighoghossian N [13] (1995) | 31-year-old male | Mitral valves | Recurrent ischemic stroke | Acenocoumarol (1st time) Surgical excision (2nd time) |
Not reported |
| Quinson P [8] (1996) | 64-year-old female | Aortic valve | Angina | Surgical excision Aspirin 250 mg | Symptom-free at 3 months follow-up |
| Voros S [2] (1999) | 72-year-old male | Pulmonary valve | Ischemic stroke | Conservative management | Not reported |
| Berent R [14] (1998) | 44-year-old female | Aortic valve | Weakness and Fatigue | Surgical excision | Not reported |
| Aggarwal A [15] (2003) | 66-year-old female | Aortic valve | Ischemic strokes | Anticoagulation (1st time) Surgical excision (2nd time) |
Not reported |
| Wolf RC [16] (2006) | 47-year-old female | Aortic valve | Ischemic stroke | Aspirin 100 mg | No neurological event at 6-month follow-up |
| Siles RJR [17] (2006) | 42-year-old male | Aortic valve | Transient ischemic attack | Aspirin 200 mg | No neurological event at 1 year follow-up |
| Aziz F [3] (2007) | 61-year-old female | Aortic valve | Ischemic stroke | Surgical excision | No neurological event at 1 year follow-up |
| Jaffe W [18] (2007) | 80-year-old female | Aortic valve | Incidental finding | Not Report | Not reported |
| Nakahira J [19] (2008) | 69-year-old female | Aortic valve | Incidental finding | Surgical excision | Not reported |
| Kalavakunta JK [5] (2010) | 59-year-old male | Aortic valve | Ischemic stroke | Warfarin therapy | Not reported |
| Mito M [20] (2012) | 50-year-old female | Aortic valve | Myocardial Infarction | Expired | – |
| Liu RZ [21] (2012) | 53-year-old male | Aortic valve | Headache and ischemic stroke | Aspirin 100 mg | Symptom-free at 9-month follow-up |
| 30-year-old male | Aortic valve | Headache and ischemic stroke | Surgical excision | Symptom-free at 7-month follow-up | |
| Morgan JA [22] (2012) | Female | Aortic valve | Incidental finding | Surgical excision | Not Reported |
| Wu TY [6] (2013) | 66-year-old female | Aortic valve | Ischemic stroke | Lifelong warfarin therapy | No neurological event at 6-month follow-up |
| Al-Ansari S [4] (2013) | 33-year-old male | Mitral valve and chordae tendineae | Ischemic stroke | Surgical excision | Not reported |
| Yacoub HA [23] (2014) | 59-year-old male | Aortic valve | Ischemic stroke | Aspirin and Lipitor | Not reported |
| Davogustto G [24] (2015) | 68-year-old female | Aortic valve | Migraine headache and ischemic stroke | Aspirin | No neurological event at 2-year follow-up |
| Current case | 51-year-old female | Aortic valve | Ischemic stroke (1st & 2nd time) Transient ischemic attack (3rd time) |
Aspirin 81 mg and Clopidogrel 75 mg | No neurological event at 3-month and 6-month follow-up |