Lambl excrescences heart Echocardiogram aorticvalve

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Transesophageal Echocardiogram showing Lambl excrescences. • Lambl's excrescences are small, thread-like or filamentous projections that occur on the heart valves, typically on the mitral or aortic valves. • ♦ Etiology • Age-related: More common in older adults • Valvular disease: Associated with valve damage or scarring • Cardiac conditions: Linked to conditions like mitral regurgitation or aortic stenosis • ♥ Appearance • ↳ Thin, thread-like projections: Typically 1-10 mm long • ⇌ Fragile and mobile: Can be seen moving with blood flow • ① Usually multiple: Can occur singly, but often multiple excrescences are seen • 🧵 Pathology • Fibrous or fibrinous: Composed of fibrous or fibrinous material • 🔗 Attached to valve leaflets: Can interfere with valve function • ❗️ Can embolize: Rarely, can break loose and travel to other parts of the body • 📊 Management • Monitoring: Regular echocardiograms to track changes • 💊 Anticoagulation: Blood thinners may be prescribed to prevent embolization • 👨‍⚕️ Surgical excision: Rarely needed, but may be considered in severe cases • #heart #echocardiography #heartdisease #echo #echocardiography #cardiology

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