Lambl's Excrescences: A Rare Cause of Stroke

Cardioembolic stoke accounts for over 25% of all ischemic strokes (1). Atrial fibrillation, acute myocardial infarction, valvular heart diseases, infective endocarditis, non-bacterial thrombotic endocarditis and atrial myxoma represent the major cardiac causes of cerebral embolism. In routine clinical practice, Lambl’s excrescences as a cause of cardioembolic stroke are not considered by the majority of physicians. The present case report illustrates the significance of considering this finding on transesophageal echocardiography (TEE) as a critical step in the work-up of an ischemic stroke patient.