title: Spontaneous rupture of a caseous calcification of the mitral annulus in a hemodialysis patient.
abstract: We report a 56-year-old hemodialysis patient with a spontaneously ruptured caseous calcification of the mitral annulus resulting in multiple cerebral emboli. The mass was resected without replacing the mitral valve. The patient has remained symptom-free 3.5 years following surgery.
authors.affiliation: Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.
authors.forename: Azumi
authors.initials: A
authors.lastname: Hamasaki
authors.affiliation: Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.
authors.forename: Tetsuro
authors.initials: T
authors.lastname: Uchida
authors.affiliation: Second Department of Surgery, Yamagata University Faculty of Medicine, Yamagata, Japan.
authors.forename: Mitsuaki
authors.initials: M
authors.lastname: Sadahiro
mesh_terms: D002114:Calcinosis / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006348:Cardiac Surgical Procedures / Q000379:methods*; D004452:Echocardiography; D005260:Female; D005500:Follow-Up Studies; D006801:Humans; D020766:Intracranial Embolism / Q000175:diagnosis / Q000209:etiology*; D007676:Kidney Failure, Chronic / Q000150:complications* / Q000628:therapy; D008875:Middle Aged; D008943:Mitral Valve; D008944:Mitral Valve Insufficiency / Q000150:complications / Q000175:diagnosis* / Q000601:surgery; D006435:Renal Dialysis; D012422:Rupture, Spontaneous; D014057:Tomography, X-Ray Computed