biostudies-literatureUnknown2016Pizzuti AA 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.Case reports in cardiology8370212https://www.ebi.ac.uk/biostudies/studies/S-EPMC5138484biostudies-literatureAcute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl's Excrescence.PMC5138484Parisi FMosso LTomasello APizzuti ACali' Quaglia FfalseAcute Myocardial Infarction in a Patient with Two-Vessel Occlusion and a Large Lambl's Excrescence.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.2016-01-01T00:00:00Z20162025-04-26T02:00:44.828Z2019-03-27T02:30:51ZS-EPMC51384842799488710.1155/2016/8370212