|
Three Cases of Lamblfs Excrescence
|
iDepartment of Thoracic and Cardiovascular Surgery, Wakayama Medical University, Wakayama, Japanj
| Nobuko Yamamoto |
Yoshitaka Okamura |
Yoshiharu Nishimura |
| Shunji Uchita |
Koji Toguchi |
Kentaro Honda |
| Takeo Nakai |
|
|
|
Lamblfs excrescences are the fibrous structures which are attached to the heart valve, and usually the presence of Lamblfs excrescences alone is not an indication of operation. The operative indications of isolated Lamblfs excrescence is still controversial, because some reports indicated cross relationship between Lamblfs excrescences and cerebral embolism. Based on these facts, we discussed our 3 cases of Lamblfs excrescences. Two of the cases had been complicated with severe mitral regurgitation and Lamblfs excrescences were resected at the time of mitral valve plasty. In another case, Lamblfs excrescence was found with echocardiography during chronic heart failure therapy. This patient had a past history of cerebral infarction, but no relationship of cerebral infarction was suggested. In this case, cardiac surgery was not required, so we followed isolated Lamblfs excrescence without resection in this case. One operated case, which had infective endocarditis was suspected by echocardiography, had slighted inflammatory reaction but blood culture was negative. Diagnosis of Lamblfs excrescence was made by histopathological examination. One report suggested that the cause of the cerebral infarction is not Lamblfs excrescence itself but the thrombi around Lamblfs excrescence. However, we hesitate to operate on isolated Lamblfs excrescence. Based on some reports, it is useful to resect Lamblfs excrescence when a concurrent cardiac operation is carried out to avoid cerebral embolic events.
Jpn. J. Cardiovasc. Surg. 41:135-138i2012j
KeywordsFLamblfs excrescence, cerebral infarction
|
|
