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Hi Mary Lou,
I agree with you. If true, Lambl's excrescences (LE) are small blood clots on the margins of heart valves where the valve leaflets make contact. They are caused by minor damage due to wear and tear. Most patients with LE are asymptomatic. However, LE — found mostly on aortic valve leaflets — can break apart and get into your circulation (embolize). When they embolize to the brain, they can cause a stroke. Asymptomatic patients with evidence of Lambl's excrescences should be monitored closely with serial echocardiograms. If there is evidence of a stroke in a patient with Lambl's excrescences, anticoagulation is advised and operative removal of Lambl's excrescences should be considered.
However, your other symptoms of fatigue don't have anything to do with this, although they may be suggestive of heart disease. A stress echo is usually more than adequate to demonstrate coronary artery disease and the treatment of a severe blockage (like with your husband) doesn't necessarily need treatment with a stent or bypass surgery. Often "optimal medical therapy" is just as effective!
Hope this helps,
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