# Lambl’s Excrescence and Management of Recurrent Cerebrovascular Accident (CVA)

## TL;DR

A 42-year-old woman with no prior health issues had a sudden language problem, and imaging revealed brain infarcts and a rare heart valve finding called Lambl’s excrescence.

## Contribution

This case highlights the potential association between Lambl’s excrescence and cerebrovascular accidents in a young, otherwise healthy individual.

## Key findings

- MRI showed both acute and chronic brain infarcts in a 42-year-old woman.
- Echocardiography revealed Lambl’s excrescence on the aortic valve.
- The case suggests a possible link between the excrescence and recurrent cerebrovascular events.

## Abstract

Lambl’s excrescence is a rare valvular finding of uncertain pathologic significance. This case describes a previously healthy 42-year-old woman experiencing a sudden onset of word-finding difficulty. MRI of the brain demonstrated acute and chronic infarcts, prompting echocardiography, which revealed Lambl’s excrescence of the aortic valve.