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一名患有双支血管闭塞和巨大兰勃赘生物的患者发生急性心肌梗死。

Acute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl's Excrescence.

作者信息

Pizzuti Alfredo, Parisi Francesco, Mosso Luciano, Cali' Quaglia Francesca, Tomasello Antonino

机构信息

Division of Cardiology, Mauriziano Hospital, Torino, Italy.

Division of Cardiothoracic Surgery, Mauriziano Hospital, Torino, Italy.

出版信息

Case Rep Cardiol. 2016;2016:8370212. doi: 10.1155/2016/8370212. Epub 2016 Nov 22.

DOI:10.1155/2016/8370212
PMID:27994887
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5138484/
Abstract

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.

摘要

一名59岁男性在心肌梗死后接受了超声心动图检查，结果显示主动脉瓣上附着有一个薄的、可移动的肿块。怀疑诊断为兰布尔赘生物（LE）。不能排除LE物质栓塞导致冠状动脉闭塞的可能性，该患者接受了手术切除。组织学检查证实了诊断；然而，由于这两种结构在组织学上无法区分，因此无法与乳头纤维弹性瘤进行鉴别诊断。本文对相关文献进行了简要综述。目前尚未确立基于证据的治疗建议。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/fc0e4d04a9ec/CRIC2016-8370212.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/7ba3c9cf3c4e/CRIC2016-8370212.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/77f6ea4ddf51/CRIC2016-8370212.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/3ccab3233b2b/CRIC2016-8370212.003.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/a590791505a2/CRIC2016-8370212.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/cea30eac981c/CRIC2016-8370212.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/5588e75a976b/CRIC2016-8370212.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/fc0e4d04a9ec/CRIC2016-8370212.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/7ba3c9cf3c4e/CRIC2016-8370212.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/77f6ea4ddf51/CRIC2016-8370212.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/3ccab3233b2b/CRIC2016-8370212.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/d6f7a83abb4b/CRIC2016-8370212.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/a590791505a2/CRIC2016-8370212.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/cea30eac981c/CRIC2016-8370212.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/5588e75a976b/CRIC2016-8370212.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/b263/5138484/fc0e4d04a9ec/CRIC2016-8370212.008.jpg

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引用本文的文献

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Neurohospitalist. 2024 Jul;14(3):339-346. doi: 10.1177/19418744241240523. Epub 2024 Mar 19.
2
Lambl's Excrescence as an Etiology of Thromboembolism: Case Report and Literature Review.作为血栓栓塞病因的兰布尔赘生物：病例报告及文献综述
Clin Med Insights Case Rep. 2023 May 24;16:11795476231171391. doi: 10.1177/11795476231171391. eCollection 2023.

本文引用的文献

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Lambl's Excrescence Associated with Cryptogenic Stroke: A Case Report and Literature Review.与隐源性卒中相关的兰布尔赘生物：一例报告及文献综述
Am J Case Rep. 2015 Dec 14;16:876-81. doi: 10.12659/ajcr.895456.
2
Lambl's Excrescences: Association with Cerebrovascular Disease and Pathogenesis.兰布尔赘生物：与脑血管疾病的关联及发病机制
Cerebrovasc Dis. 2015;40(1-2):18-27. doi: 10.1159/000381906. Epub 2015 Jun 2.
3
Clinical significance and prevalence of valvular strands during routine echo examinations.
Eur Heart J Cardiovasc Imaging. 2014 Nov;15(11):1226-30. doi: 10.1093/ehjci/jeu110. Epub 2014 Jun 17.
4
Multiple Lambl's excrescences with subvalvular extension, a rare cause of cryptogenic stroke: treated by port-access cardiac surgery.伴有瓣下延伸的多发性兰布尔赘生物，一种不明原因卒中的罕见病因：经端口入路心脏手术治疗
BMJ Case Rep. 2013 Dec 5;2013:bcr2013201161. doi: 10.1136/bcr-2013-201161.
5
Thrombo-embolic cerebral infarction secondary to giant Lambl's excrescence.巨氏头节蚴继发血栓栓塞性脑梗死。
J Clin Neurosci. 2013 Nov;20(11):1632-4. doi: 10.1016/j.jocn.2012.08.015. Epub 2013 May 11.
6
Lambl's excrescences: a rare cause of stroke.兰布尔赘生物：中风的罕见病因。
J Heart Valve Dis. 2010 Sep;19(5):669-70.
7
Papillary fibroelastoma: insight to a primary cardiac valve tumor.乳头状纤维弹性瘤：对原发性心脏瓣膜肿瘤的见解
J Card Surg. 2010 Mar;25(2):198-205. doi: 10.1111/j.1540-8191.2009.00993.x. Epub 2010 Feb 9.
8
An example of Lambl's excrescences by transesophageal echocardiogram: a commonly misinterpreted lesion.经食管超声心动图显示的兰勃赘生物一例：一种常被误解的病变。
Echocardiography. 2007 Nov;24(10):1086-9. doi: 10.1111/j.1540-8175.2007.00533.x.
9
Lambl's excrescences: review and recommendations.兰布尔赘生物：综述与建议
Tex Heart Inst J. 2007;34(3):366-8.
10
Valvular strands and ischemic stroke.瓣膜条索与缺血性卒中。
Eur Neurol. 2007;57(4):227-31. doi: 10.1159/000100016. Epub 2007 Feb 20.