Critical multi-organ emboli originating from collapsed, vulnerable caseous mitral annular calcification.

Abstract:

:Mitral annular calcification (MAC) is a generally asymptomatic abnormality found commonly in aged hearts. Some clinical studies have suggested that MAC should be considered an independent risk factor for stroke; however, whether the abnormality is indeed a risk factor remains controversial. We report a case in which debris from a vulnerable caseous MAC contributed to lethal embolisms in multiple organs. Postmortem examination revealed that caseous materials originating from a collapsed MAC were trapped in stenosed atherosclerotic cerebral and coronary arteries. Our findings support the notion at that subtle debris from collapsed vulnerable MACs can trigger major and even lethal embolic events in patients with severe atherosclerotic stenosis in vital organs.

journal_name

Pathol Int

journal_title

Pathology international

authors

Matsuyama TA,Ishibashi-Ueda H,Ikeda Y,Nagatsuka K,Miyashita K,Amaki M,Kanzaki H,Kitakaze M

doi

10.1111/j.1440-1827.2012.02826.x

subject

Has Abstract

pub_date

2012-07-01 00:00:00

pages

496-9

issue

7

eissn

1320-5463

issn

1440-1827

journal_volume

62

pub_type

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