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The article presents a specific clinical case and literature data on a rare finding in the heart cavity — Lambl’s fila  ments.  Histologically,  these  are  cells  of  fibroelastic  tissue  covered  with  stroma  and  epithelial  layer.  They  do  not have a vascular sheath, so they are devoid of granulation tissue. Lambl’s growths occur on both their own and prosthetic heart valves. Very rarely, threads can also be seen in areas other than heart valves such as the papillae, atria, and  chords.  These  lesions  can  be  seen  on  the  echocardiogram  accidentally  or  in  connection  with  serious  complications such as embolic stroke or acute coronary syndrome after their separation and distribution to distant organs. Lambl’s growths occur in adults and children, but the prevalence is higher in the former and increases with age. On the echocardiogram, the incidence reaches a peak between the ages of 61 and 70, and then decreases due to the aging of heart valves, which are increasingly calcified. The disease is more common in men than in women.

Lambl’s filaments as a cause for cardiogenic embolism of cerebral vessels and coronary arteries