Related Experiment Video
Updated: Aug 4, 2025
08:42
Cox-Maze IV Procedure Concomitant with Valvular Surgery In Situs Inversus Dextrocardia: A Single-Center Experience in China
Published on: February 11, 2022
3.5K
Caseous calcification of the mitral annulus presenting as recurrent strokes
Maria-Erato Zymatoura1, Panagiota Georgiadou1, Kalliopi Perlepe1
1Division of Interventional Cardiology, Onassis Cardiac Surgery Center, Athens, Greece.
Journal of Cardiology Cases
|April 4, 2023
Summary
Caseous calcification of the mitral annulus, a rare condition, can lead to stroke. This report details a case where it caused recurrent strokes, highlighting the importance of medical management for stroke prevention.
Area of Science:
- Cardiology
- Neurology
Background:
- Caseous calcification of the mitral annulus (CCMA) is a rare entity, often incidentally discovered.
- It carries a significant risk of embolic complications, particularly stroke.
Observation:
- A 64-year-old female presented with recurrent ischemic strokes.
- Cerebral MRI revealed a right middle cerebral artery thrombus.
- Echocardiography identified mitral annular calcification with a mobile, echo-dense mass.
Findings:
- The patient's stroke episodes were attributed to CCMA with an associated thrombus.
- Medical management, including anticoagulation, was initiated.
- No further embolic events were observed during follow-up.
Implications:
- CCMA should be considered in patients with cryptogenic stroke, especially those with mitral annular calcification.
- Early diagnosis and appropriate medical management, including anticoagulation, are crucial for preventing recurrent embolic events.
- This case underscores the link between CCMA and cerebrovascular complications.
More Related Videos
Related Concept Videos
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
27
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
27
01:22Mitral Stenosis I: Introduction
22
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
22
01:23Mitral Regurgitation II: Clinical Features and Diagnostic Tests
29
Mitral regurgitation (MR) is a valvular heart disorder in which the mitral valve fails to close tightly, allowing blood to leak backward into the heart. Understanding the clinical manifestations, assessment, diagnostic findings, and medical management of MR is crucial to effectively managing affected patients.Clinical Manifestations of Mitral RegurgitationMitral regurgitation can be acute or chronic, each presenting differently and requiring different approaches:1. Acute Mitral...
29
01:22Mitral Valve Prolapse II: Assessment and Management
28
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
28
01:22Aortic Regurgitation II: Clinical Features and Diagnostic Tests
37
Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
37
01:20Mitral Regurgitation I: Introduction
23
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
23