Key result
A 59-year-old male presented with a reversible ischemic stroke caused by multiple spontaneous calcified emboli in the cerebral arteries originating from massive mitral and aortic valvular calcifications.
Case Report (n=1)
This case highlights that massive calcification of the mitral and aortic valves can be a source of spontaneous calcified cerebral emboli leading to transient ischemic attack.
Calcified valvular emboli merit consideration in cryptogenic stroke; extends sparse case reports but leaves open need for prospective validation.
We report a case of calcified mitral and aortic stenosis revealed by a reversible ischemic stroke. A 59-year-old male patient, with background of hypertension, kidney failure, diabetes, and dyslipidemia, presented with neither acute onset of right-sided hemiparesis without aphasia nor any loss of consciousness. Head computed tomography (CT) revealed multiple rounded and amorph calcified high-density calcifications within the distal segments of both sylvian and posterior cerebral arteries. Angiographic CT of the carotids didn't reveal any stenosis or atherosclerotic plaques. Thoracic CT showed massive mitral and aortic valvular calcifications with a left ventricular hypertrophy.
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Taoussi et al. (2022) conducted a case report in Calcified mitral and aortic stenosis with reversible ischemic stroke (n=1). A 59-year-old male presented with a reversible ischemic stroke caused by multiple spontaneous calcified emboli in the cerebral arteries originating from massive mitral and aortic valvular calcifications.
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