Caseous necrosis of mitral annulus: a rare cause of stroke.
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.
University Hospital of Bordeaux, Cardiologic Hospital Haut-Lévêque, 33600 Pessac, France.
Jérôme
J
Corre
University Hospital of Bordeaux, Cardiologic Hospital Haut-Lévêque, 33600 Pessac, France.
Lionel
L
Leroux
University Hospital of Bordeaux, Cardiologic Hospital Haut-Lévêque, 33600 Pessac, France.
Pierre
P
Coste