Key result
Rare caseous MAC is linked to multiple cardioembolic strokes potentially requiring surgical treatment.
Case Report
Caseous calcification of the mitral annulus is a rare echocardiographic finding that can mimic tumors or endocarditis and may serve as a source of cardioembolic stroke.
Alerts clinicians to caseous mitral annular calcification in embolic stroke evaluation; leaves open optimal management beyond isolated cases.
•Mitral annular calcification (MAC) is a common echocardiographic finding, estimated at around 14%, and occurs especially in elderly women.•Caseous calcification of the mitral annulus (CCMA) is a rare subvariant of MAC, with an echocardiographic prevalence of 0.6% and necropsy prevalence of about 2.3%.•CCMA, just like MAC, is believed to be associated with a high calcium score, coronary artery disease, aortic valve disease, atrial fibrillation, and hypertension.•CCMA can be confused echocardiographically with infective endocarditis, tumors, and cysts.•The decision for surgical treatment of CCMA is based on clinical judgment with factors such as valvular dysfunction and/or the propensity for stroke.
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Goldberg et al. (2017) conducted a case report in Caseous calcification of the mitral annulus (CCMA) and cardioembolic strokes. Caseous calcification of the mitral annulus (CCMA) was evaluated. Caseous calcification of the mitral annulus is a rare subvariant of mitral annular calcification that can cause multiple cardioembolic strokes and may require surgical treatment.
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