Acute myocardial infarction from embolization of Lambl's excrescences: A case report.
Cardiology
Chest pain
Lambl's excrescences
Mitral valve
Myocardial infarction
Troponin
Journal
The American journal of emergency medicine
ISSN: 1532-8171
Titre abrégé: Am J Emerg Med
Pays: United States
ID NLM: 8309942
Informations de publication
Date de publication:
09 2021
09 2021
Historique:
received:
18
12
2020
revised:
18
01
2021
accepted:
17
02
2021
pubmed:
14
3
2021
medline:
3
9
2021
entrez:
13
3
2021
Statut:
ppublish
Résumé
While coronary artery embolism remains an infrequent cause of myocardial infarction (MI), it may present in patients at otherwise low risk for coronary artery disease. When clinicians apply typical risk stratification in these cases, they may be led away from a full evaluation for acute coronary syndrome (ACS). A diagnosis of MI in an otherwise healthy patient should prompt consideration of embolic sources, including Lambl's excrescences (LEs), and echocardiographic evaluation may be necessary to make a final diagnosis. We present a case of LEs in an otherwise healthy 43-year-old male presenting with chest pain and elevated cardiac enzymes, and also review the cases of this rare event found in the literature.
Identifiants
pubmed: 33712342
pii: S0735-6757(21)00149-2
doi: 10.1016/j.ajem.2021.02.041
pii:
doi:
Types de publication
Case Reports
Journal Article
Review
Langues
eng
Sous-ensembles de citation
IM
Pagination
319.e1-319.e5Informations de copyright
Copyright © 2021 Elsevier Inc. All rights reserved.
Déclaration de conflit d'intérêts
Declaration of Competing Interest We have no conflicts of interest to report.