Lambl's excrescences involving the pulmonary valve detected by transesophageal echocardiography

We report the first case of echocardiographically detected Lambl's excresce nces on the pulmonary valve in a 72-year-old man who was referred for trans esophageal echocardiography as a part of an evaluation for ischemic stroke. A total of four excrescences were noted on the arterial aspect of the pulm onary valve; true of them were on the anterior cusp, one was on the left cu sp, and one was on the right cusp. The excrescence on the left cusp was the largest, measuring 5 mm in length. These valvular strands (Lambl's excresc ences) represented an incidental finding and were not associated with any d isease process.