{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,6,27]],"date-time":"2026-06-27T23:40:02Z","timestamp":1782603602581,"version":"3.54.5"},"reference-count":12,"publisher":"Texas Heart Institute Journal","issue":"1","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2015,2]]},"abstract":"<jats:p>Lambl's excrescences are mobile, thin, filiform structures that occur at sites of valve closure. Even though many clinicians consider them to be part of the normal aging process, evidence suggests an association between Lambl's excrescences and ischemic stroke, migrainous headaches, and acute coronary syndromes. As a thin filamentous structure, a Lambl's excrescence is better detected and characterized with transesophageal than with transthoracic echocardiography. Intracardiac oscillatory structures can also be seen as \u201ctiger stripes\u201d on spectral pulsed Doppler echocardiographic recordings. Herein, we present the case of a 68-year-old woman who had 3 concurrent enigmatic findings with unclear correlation: migrainous headaches, Lambl's excrescences, and the uncommon finding of \u201ctiger stripes\u201d on spectral Doppler echocardiography. We discuss the possible correlation between these 3 findings and review the available literature on Lambl's excrescences and tiger stripes.<\/jats:p>","DOI":"10.14503\/thij-13-3808","type":"journal-article","created":{"date-parts":[[2015,2,9]],"date-time":"2015-02-09T17:19:49Z","timestamp":1423502389000},"page":"70-72","source":"Crossref","is-referenced-by-count":17,"title":["Lambl's Excrescence, Migrainous Headaches, and \u201cTiger Stripes\u201d: Puzzling Findings in One Patient"],"prefix":"10.14503","volume":"42","author":[{"given":"Giovanni","family":"Davogustto","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rajeev Ruben","family":"Fernando","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Catalin","family":"Loghin","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"5628","reference":[{"key":"i0730-2347-42-1-70-b1","series-title":"Wien Med Wochenschr","first-page":"244","article-title":"Papillare excrescenzen an der semilunar-klappe der aorta [in German]","volume":"6","year":"1856","unstructured":"Lambl\n              VD.\n          \n          Papillare excrescenzen an der semilunar-klappe der aorta [in German]. Wien Med Wochenschr1856;6:244\u20137."},{"issue":"10","key":"i0730-2347-42-1-70-b2","series-title":"Echocardiography","first-page":"1086","article-title":"An example of Lambl's excrescences by transesophageal echocardiogram: a commonly misinterpreted lesion","volume":"24","year":"2007","unstructured":"Jaffe\n              W, \n            \n              Figueredo\n              VM.\n          \n          An example of Lambl's excrescences by transesophageal echocardiogram: a commonly misinterpreted lesion. Echocardiography2007;24(10):1086\u20139."},{"issue":"1","key":"i0730-2347-42-1-70-b3","series-title":"Echocardiography","first-page":"101","article-title":"Lambl's excrescences and stroke","volume":"17","year":"2000","unstructured":"Cohen\n              A, \n            \n              Tzourio\n              C, \n            \n              Amarenco\n              P.\n          \n          Lambl's excrescences and stroke. Echocardiography2000;17(1):101\u20133."},{"issue":"14","key":"i0730-2347-42-1-70-b4","series-title":"Circulation","first-page":"1919","article-title":"Non-Q-wave infarction and ostial left coronary obstruction due to giant Lambl's excrescences of the aortic valve","volume":"99","year":"1999","unstructured":"Dangas\n              G, \n            \n              Dailey-Sterling\n              FG, \n            \n              Sharma\n              SK, \n            \n              Chockalingham\n              S, \n            \n              Albanese\n              JR, \n            \n              Reich\n              DL\n            \n          , et al. Non-Q-wave infarction and ostial left coronary obstruction due to giant Lambl's excrescences of the aortic valve. Circulation1999;99(14):1919\u201321."},{"issue":"5","key":"i0730-2347-42-1-70-b5","series-title":"Echocardiography","first-page":"558","article-title":"Tiger stripes","volume":"24","year":"2007","unstructured":"Kerut\n              EK.\n          \n          Tiger stripes. Echocardiography2007;24(5):558\u20139."},{"issue":"4","key":"i0730-2347-42-1-70-b6","series-title":"Echocardiography","first-page":"399","article-title":"Lambl's excrescences (valvular strands)","volume":"16","year":"1999","unstructured":"Voros\n              S, \n            \n              Nanda\n              NC, \n            \n              Thakur\n              AC, \n            \n              Winokur\n              TS, \n            \n              Samal\n              AK.\n          \n          Lambl's excrescences (valvular strands). Echocardiography1999;16(4):399\u2013414."},{"issue":"11","key":"i0730-2347-42-1-70-b7","series-title":"Am J Cardiol","first-page":"1549","article-title":"Detection of strands in native aortic valves by transesophageal echocardiography","volume":"79","year":"1997","unstructured":"Menzel\n              T, \n            \n              Mohr-Kahaly\n              S, \n            \n              Arnold\n              KJ, \n            \n              Kolsch\n              B, \n            \n              Kopp\n              H, \n            \n              Spiecker\n              M\n            \n          , et al. Detection of strands in native aortic valves by transesophageal echocardiography. Am J Cardiol1997;79 (11):1549\u201352."},{"issue":"2","key":"i0730-2347-42-1-70-b8","series-title":"J Pathol Bacterial","first-page":"203","article-title":"On the mode of formation of Lambl's excrescences and their relation to chronic thickening of the mitral valve","volume":"61","year":"1949","unstructured":"Magarey\n              FR.\n          \n          On the mode of formation of Lambl's excrescences and their relation to chronic thickening of the mitral valve. J Pathol Bacterial1949;61(2):203\u20138."},{"issue":"7","key":"i0730-2347-42-1-70-b9","series-title":"J Am Coll Cardiol","first-page":"1709","article-title":"Valve strands are strongly associated with systemic embolization: a transesophageal echocardiographic study","volume":"26","year":"1995","unstructured":"Freedberg\n              RS, \n            \n              Goodkin\n              GM, \n            \n              Perez\n              JL, \n            \n              Tunick\n              PA, \n            \n              Kronzon\n              I.\n          \n          Valve strands are strongly associated with systemic embolization: a transesophageal echocardiographic study. J Am Coll Cardiol1995;26(7):1709\u201312."},{"issue":"5","key":"i0730-2347-42-1-70-b10","series-title":"J Am Coll Cardiol","first-page":"1308","article-title":"Valve excrescences: prevalence, evolution and risk for cardioembolism","volume":"30","year":"1997","unstructured":"Roldan\n              CA, \n            \n              Shively\n              BK, \n            \n              Crawford\n              MH.\n          \n          Valve excrescences: prevalence, evolution and risk for cardioembolism. J Am Coll Cardiol1997;30(5):1308\u201314."},{"issue":"8","key":"i0730-2347-42-1-70-b11","series-title":"J Am Soc Echocardiogr","first-page":"895","article-title":"Prosthetic valve strands: clinically significant or irrelevant to management?","volume":"22","year":"2009","unstructured":"Orsinelli\n              DA.\n          \n          Prosthetic valve strands: clinically significant or irrelevant to management?\n          J Am Soc Echocardiogr\n          2009;22 (8):895\u20138."},{"issue":"18","key":"i0730-2347-42-1-70-b12","series-title":"Chin Med J (Engl)","first-page":"3346","article-title":"Migraine-like headache and ischemic strokes in two patients with Lambl's excrescences","volume":"125","year":"2012","unstructured":"Liu\n              RZ, \n            \n              Yu\n              SY, \n            \n              Li\n              Y.\n          \n          Migraine-like headache and ischemic strokes in two patients with Lambl's excrescences. Chin Med J (Engl)2012;125(18):3346\u20138."}],"container-title":["Texas Heart Institute Journal"],"original-title":[],"link":[{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/42\/1\/article-p70.xml","content-type":"text\/html","content-version":"vor","intended-application":"text-mining"},{"URL":"http:\/\/meridian.allenpress.com\/thij\/article-pdf\/42\/1\/70\/1969657\/thij-13-3808.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/42\/1\/article-p70.xml","content-type":"text\/html","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/thij.kglmeridian.com\/downloadpdf\/journals\/thij\/42\/1\/article-p70.xml","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2024,11,7]],"date-time":"2024-11-07T15:29:33Z","timestamp":1730993373000},"score":1,"resource":{"primary":{"URL":"https:\/\/thij.kglmeridian.com\/view\/journals\/thij\/42\/1\/article-p70.xml"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2015,2]]},"references-count":12,"journal-issue":{"issue":"1"},"URL":"https:\/\/doi.org\/10.14503\/thij-13-3808","relation":{},"ISSN":["0730-2347","1526-6702"],"issn-type":[{"value":"0730-2347","type":"print"},{"value":"1526-6702","type":"electronic"}],"subject":[],"published":{"date-parts":[[2015,2]]}}}