Highlights the rare but severe complication of massive cerebral embolism originating from ruptured infective mitral annular calcification in a chronic hemodialysis patient.
Alerts clinicians to rare embolism risk from infective mitral annular calcification in hemodialysis; single case leaves prevalence and management open.
Infective endocarditis of mitral annular calcification (MAC) has been reported, however, little attention has been given to the possibility of cerebral-embolism based infective endocarditis of MAC. We report a chronic hemodialysis patient of massive cerebral embolism originated from ruptured infective MAC.
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Nishida et al. (2008) studied this question.
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