How do you treat patients with stroke thought to be secondary to Lambl excrescence?
Community PollStarted
What is your preferred antithrombotic regiment for prevention of stroke secondary to Lambl's excrescences?
14 physicians have voted
Join Mednetto vote and see how they answered.
2 Answers
Mednet MemberInvited Expert
Neurology · University of Virginia, School of Medicine
Answered on
Pathophysiologically, these occur through sheer stress to the valvular endocardium causing small areas to be denuded followed by fibrin deposition and microthrombi formation on the endocardial injury, which can embolize. Histopathologically, they have similarities to fibroelastomas (which are larger...
Join for free or sign in to see the full answer
Mednet MemberInvited Expert
Neurology · Vanderbilt University Medical Center
Answered on
The definitive treatment is surgical removal. If that is not possible, then I would try anticoagulation, but without much evidence of efficacy.
Join for free or sign in to see the full answer