1. An Autopsy Case of Lambl's Excrescences with Trousseau Syndrome that Caused Cardioembolic Stroke
- Author
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Hideomi Fujiwara, Takehisa Hirayama, Ken Ikeda, Tetsuhito Kiyozuka, Hiroteru Takeo, Osamu Kano, Harumi Morioka, and Konosuke Iwamoto
- Subjects
Male ,medicine.medical_specialty ,Colorectal cancer ,Trousseau syndrome ,Autopsy ,Case Report ,Fibrin ,autopsy ,Internal medicine ,Internal Medicine ,medicine ,otorhinolaryngologic diseases ,Humans ,In patient ,Aged ,Cardioembolic stroke ,Embolic Stroke ,biology ,business.industry ,Lambl's excrescence ,General Medicine ,Autopsy case ,medicine.disease ,Embolism ,Coagulation ,Aortic Valve ,biology.protein ,Cardiology ,cardioembolic stroke ,business - Abstract
The frequency and risk of embolism by Lambl's excrescences (LEs) remain unclear. We herein report an autopsy case of LEs that caused cardioembolic stroke. A 74-year-old man with colon cancer was hospitalized for ischemic stroke. His D-dimer levels were elevated. Thus, a diagnosis of ischemic stroke with Trousseau syndrome was made. At the autopsy, we found LEs in the aortic valves and thromboembolism of the brain blood vessels. This finding demonstrated that fibrin clots had adhered to the LEs because of coagulation abnormalities associated with Trousseau syndrome and became embolized. This case highlights the risk of LEs in patients with coagulation abnormalities.
- Published
- 2020