Caseous Necrosis of Mitral Annulus: A Rare Cause of Stroke | Zendy

Jérôme Corré | Zendy; Lionel Leroux | Zendy; Pierre Coste | Zendy

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Caseous Necrosis of Mitral Annulus: A Rare Cause of Stroke

Author(s) -

Jérôme Corré,

Lionel Leroux,

Pierre Coste

Publication year - 2013

Publication title -

case reports in cardiology

Language(s) - English

Resource type - Journals

SCImago Journal Rank - 0.106

H-Index - 5

eISSN - 2090-6412

pISSN - 2090-6404

DOI - 10.1155/2013/748241

Subject(s) - mitral annulus , caseous necrosis , ventricle , medicine , cardiology , mitral valve , lesion , stroke (engine) , radiology , annulus (botany) , surgery , mechanical engineering , biopsy , blood pressure , diastole , engineering , botany , biology

The current report describes a rare case of a caseous necrosis presenting as a pseudotumor in ventricle, revealed by stroke. Cerebral MRI, showing multiples lacunes, evocates a cardioembolic mechanism. Transthoracic and transesophageal echocardiography demonstrate a large hyperechogenic mass fixed to the posterior mitral valve and annulus while thoracic tomography revealed a fully calcified lesion, at the mitral annulus, evocative of caseus necrosis. Medical therapy was preferred (anticoagulation), because of her age and the decaying nature of surgery.

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