title: Mobile thrombus originating from densely calcified mitral annulus with cerebral embolism.
abstract: Mitral annular calcification (MAC) has been considered a predisposition and an association of thrombo-embolic disease. Superimposed thrombus on MAC is under-appreciated as a potential cause of systemic thrombo-embolism. This report describes an elderly gentleman, who had recurrent cerebral embolism and in one of the episodes, a large mobile thrombus was detected on the ventricular surface of calcified mitral annulus. The thrombus disappeared after initiation of anti-coagulation.
authors.affiliation: The Fortis Institute of Cardiac Sciences, Fortis Hospital, Shalimar Bagh, New Delhi 88, India. Electronic address: a51hauzkhas@gmail.com.
authors.forename: Jagdish C
authors.initials: JC
authors.lastname: Mohan
authors.affiliation: The Fortis Institute of Cardiac Sciences, Fortis Hospital, Shalimar Bagh, New Delhi 88, India.
authors.forename: Madhu
authors.initials: M
authors.lastname: Shukla
authors.affiliation: The Fortis Institute of Cardiac Sciences, Fortis Hospital, Shalimar Bagh, New Delhi 88, India.
authors.forename: Vishwas
authors.initials: V
authors.lastname: Mohan
authors.affiliation: The Fortis Institute of Cardiac Sciences, Fortis Hospital, Shalimar Bagh, New Delhi 88, India.
authors.forename: Arvind
authors.initials: A
authors.lastname: Sethi
mesh_terms: D000368:Aged; D002114:Calcinosis / Q000150:complications* / Q000000981:diagnostic imaging; D004452:Echocardiography; D006349:Heart Valve Diseases / Q000150:complications* / Q000000981:diagnostic imaging; D006801:Humans; D020766:Intracranial Embolism / Q000150:complications*; D008297:Male; D008943:Mitral Valve / Q000000981:diagnostic imaging / Q000473:pathology*; D012008:Recurrence; D020521:Stroke / Q000209:etiology*; D013927:Thrombosis / Q000000981:diagnostic imaging / Q000209:etiology*
keywords: Cerebral embolism; Mitral annular calcification; Mobile thrombus