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Caseous necrosis of mitral annulus: a rare cause of stroke
Jérôme Corre1, Lionel Leroux1, Pierre Coste1
1University Hospital of Bordeaux, Cardiologic Hospital Haut-Lévêque, 33600 Pessac, France.
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.
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