ArticleJACC. Case reports2025
Recurrent Left-Sided Stroke: Caseous Mitral Annulus Necrosis Versus Aortic Valve Lambl's Excrescences.
Article in JACC. Case reports, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
0 citing papers in PubMed.
No citing paper in PubMed yet.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
3 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundStroke management proves challenging with caseous necrotic mitral valve and aortic valve Lambl's excrescences. CASE SUMMARY: A 68-year-old woman presented with right-sided weakness. Four months prior, she had a left middle cerebral artery cerebrovascular accident and was started on aspirin, clopidogrel, statin, and angiotensin receptor blocker. New left-sided infarcts were identified, without significant carotid disease. Findings on transesophageal echocardiography indicated severe triple-vessel coronary artery disease, mitral caseous necrosis without valvular dysfunction, and Lambl's excrescences. Clopidogrel was switched to apixaban, and a loop recorder was placed. Coronary revascularization was deferred, with plans for surgical management of the Lambl's excrescences. DISCUSSION: Recurrent left-sided strokes without significant carotid disease suggest a cryptogenic etiology. Caseous mitral necrosis and Lambl's excrescence are uncommon causes of cardioembolic stroke, but they must be considered. Management is not standardized but typically involves antiplatelets or anticoagulation, and surgical options must also be discussed.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.