《急诊每日一题》心脏兰伯氏赘生物(Lambl)与心梗2020年3月
Question 问题:
Coronary artery embolism is responsible for around 3% of cases of MI. One etiology of ACS is embolism from Lambl's excrescences. What are Lambl's excrescences?
冠状动脉血栓栓塞占急性心梗病例的3%。急性冠脉综合征的一个原因是兰伯氏赘生物(LEs)。什么是兰伯氏赘生物?

Answer 答案:
LEs are small, filiform strands that form along valve commissures. Embolization of LEs leads to CVAs, and they are felt to be a common cause of cryptogenic stroke. Embolization to coronary arteries may lead to MI.
LEs是沿瓣膜交界处形成的微小丝状物。LEs栓塞会导致脑卒中,被认为是隐性脑卒中的一个常见原因。冠状动脉栓塞将导致心肌梗塞。
参考文献:
Am J EM, epub, 2/27/21