[Emboligenic calcification of posterointernal chordae of the mitral valve. Apropos of a surgically treated case].
We report the case of a 74-year old man who experienced two transient cerebral ischaemic accidents at 24 days' interval, showing that the isolated calcifications on chordae of the mitral valve posterior leaflet responsible for these accidents were exceptionally malformed. Two-dimensional echocardiography was the key examination, as it revealed a left intraventricular mass beneath the smaller mitral valve leaflet. Having excluded other cardiac causes of cerebral ischaemic accident, and faced with the recurrent character of these accidents, we decided to operate. Surgery confirmed the diagnosis. It consisted of resection of the calcified and ulcerated mass, combined with repair of the smaller mitral valve leaflet. Isolated calcifications of the mitral valve chordae are an exceptional cause of embolic accidents of cardiac origin.
Rochiccioli
J P
JP
Service de chirurgie cardio-vasculaire, hôpital de Rangueil, Toulouse.
Rodriguez
F
F
Mordant
B
B
Dalous
P
P
Glock
Y
Y
Puel
P
P
Bernadet
P
P
D000368:Aged; D002114:Calcinosis / Q000150:complications*; D002815:Chordae Tendineae / Q000601:surgery; D004452:Echocardiography; D005500:Follow-Up Studies; D006331:Heart Diseases / Q000150:complications*; D006349:Heart Valve Diseases / Q000209:etiology; D006801:Humans; D002546:Ischemic Attack, Transient / Q000209:etiology*; D008279:Magnetic Resonance Imaging; D008297:Male; D008943:Mitral Valve
Calcifications emboligènes des cordages postéro-internes de la valve mitrale. A propos d'un cas opéré.