Caseous Necrosis of Mitral Annulus: A Rare Cause of Stroke. (12th May 2013)

• Record Type: Journal Article
• Authors: Corre, Jérôme; Leroux, Lionel; Coste, Pierre
• Other Names: Ferrari M. Academic Editor.; Movahed A. Academic Editor.; Peteiro J. Academic Editor.; Roberts-Thomson K. Academic Editor.
• Is Part Of: Case reports in cardiology. Volume 2013(2013)
• Publication Date: 2013-05-12
• Subjects: Cardiology -- Periodicals; 616.12005
• DOI: 10.1155/2013/748241
• Languages: English
• ISSNs: 2090-6404

Abstract

Abstract : 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.