title: Caseous calcification of the mitral annulus associated with stroke: report of two cases.
abstract: OBJECTIVE
  Caseous calcification of the mitral annulus (CCAM) is a rare complication of mitral annulus calcification (MAC). Whether CCAM should be considered as a cardiac source of stroke or a simple marker of atherosclerosis remains a matter of debate.
  
  
  METHODS
  Herein, we report two patients with stroke and CCAM.
  
  
  RESULTS
  The first one was associated with extensive aortic arch atheroma, while CCAM was the only potential cause in the second case. Transthoracic echocardiography was normal in both cases and CCAM was diagnosed on transesophageal echocardiography.
  
  
  CONCLUSIONS
  These observations suggest that CCAM should be added to the list of minor cardioembolic sources of stroke but also requires a perfect control of vascular risk factors.
authors.affiliation: Unité neuro-vasculaire, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux cedex, France; Unité neuro-vasculaire, pôle de neurosciences cliniques, hôpital Pellegrin, université Bordeaux Segalen, CHU de Bordeaux, place Amélie Raba-Léon, 33000 Bordeaux, France.
authors.forename: S
authors.initials: S
authors.lastname: Sagnier
authors.affiliation: Unité neuro-vasculaire, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Poli
authors.affiliation: Antenne cardiologique, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux cedex, France.
authors.forename: M
authors.initials: M
authors.lastname: Oysel-Mestre
authors.affiliation: Radiologie, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux cedex, France.
authors.forename: O
authors.initials: O
authors.lastname: Corneloup
authors.affiliation: Unité neuro-vasculaire, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux cedex, France.
authors.forename: S
authors.initials: S
authors.lastname: Debruxelles
authors.affiliation: Unité neuro-vasculaire, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux cedex, France.
authors.forename: P
authors.initials: P
authors.lastname: Renou
authors.affiliation: Unité neuro-vasculaire, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux cedex, France.
authors.forename: F
authors.initials: F
authors.lastname: Rouanet
authors.affiliation: Unité neuro-vasculaire, CHU de Bordeaux, place Amélie Raba-Léon, 33076 Bordeaux cedex, France; Unité neuro-vasculaire, pôle de neurosciences cliniques, hôpital Pellegrin, université Bordeaux Segalen, CHU de Bordeaux, place Amélie Raba-Léon, 33000 Bordeaux, France. Electronic address: sharmilas@hotmail.fr.
authors.forename: I
authors.initials: I
authors.lastname: Sibon
mesh_terms: D000368:Aged; D002114:Calcinosis / Q000150:complications* / Q000473:pathology / Q000601:surgery; D009202:Cardiomyopathies / Q000150:complications* / Q000473:pathology / Q000601:surgery; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000473:pathology* / Q000601:surgery; D020521:Stroke / Q000150:complications* / Q000473:pathology / Q000601:surgery
keywords: Atherosclerosis; Athérosclérose; Calcification caséeuse; Calcification de l’anneau mitral; Caseous calcification; Facteurs de risque cardiovasculaire; Infarctus cérébral; Mitral annulus calcification; Stroke; Vascular risk factors