Caseous Necrosis of Mitral Annulus: A Rare Cause of Stroke

Figure 1

(a) Cerebral MRI shows multiple infarcts. ((b) and (d)) Cardiac CT shows a large calcified tumor at the insertion of the mitral annulus. (c) Transesophageal echocardiography shows a hyperechogenic, unobtrusive tumor fixed to the posterolateral wall of the left ventricle.

(a)

(b)

(c)

(d)