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Risk of stroke in patients with mitral annulus calcification.
Author(s) -
A J Furlan,
A R Craciun,
Ernesto E. Salcedo,
M Mellino
Publication year - 1984
Publication title -
stroke
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 3.397
H-Index - 319
eISSN - 1524-4628
pISSN - 0039-2499
DOI - 10.1161/01.str.15.5.801
Subject(s) - medicine , embolic stroke , cardiology , stroke (engine) , calcification , atrial fibrillation , embolism , mitral annulus , endarterectomy , carotid endarterectomy , radiology , ischemic stroke , stenosis , diastole , ischemia , mechanical engineering , blood pressure , engineering
63 patients with mitral annulus calcification (MAC) were followed for an average of 3.4 years. Two patients experienced TIA, both ipsilateral to a previous endarterectomy site, and IV-DSA demonstrated normal extracranial vessels. There were 3 strokes (5%), all fatal, but none could be attributed to embolism. Embolic stroke due to MAC is rare and difficult to prove due to coexistent atherosclerosis. Associated cardiac conditions such as atrial fibrillation, which might increase the risk of embolism, usually occur with MAC greater than or equal to 5 mm. In many patients, MAC may be better viewed as a marker of generalized calcific atherosclerosis rather than as an immediate embolic source.

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