Caseous calcification of the mitral annulus: A multi-modality imaging perspective

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Caseous calcification of the mitral annulus: a multi-modality imaging perspective.

Mitral annulus calcification is a common echocardiographic finding, particularly in the elderly and in end-stage renal disease patients under chronic dialysis. Caseous calcification or liquefaction necrosis of mitral annulus calcification is a rare evolution of mitral annular calcification. Early recognition of this entity avoids an invasive diagnostic approach, since it is benign and, unlike i...

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Progression of mitral annulus calcification to caseous necrosis of the mitral valve: complementary role of multi-modality imaging.

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Caseous calcification of the mitral annulus.

A 61-year-old asymptomatic woman was referred for echocardiography to evaluate recently detected systolic murmur. Transthoracic echocardiography revealed an echodense obstructive mass in the left ventricular outflow tract of unclear origin. Subsequent transesophageal echo suggested an intracardiac calcified tumor and recommended surgical excision. Contrast-enhanced cardiac computed tomography (...

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Multimodality imaging of caseous calcification of mitral annulus.

A 73-year-old woman presented with sinoatrial block. Transthoracic echocardiography revealed a tumor-like mass (2.5 cm × 3.0 cm) located in the mitral annulus (Fig. 1(A)). Caseous calcification of the mitral annulus was suspected, which was supported by computed tomography (CT) and magnetic resonance imaging (MRI) (Fig. 1 (B-D)). Mitral valve replacement was performed using a 25-mm Mosaic Ultra...

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Multi Modality Imaging for Cardiac Masses Can Avoid Unnecessary Surgical Intervention: A Case Report of Caseous Calcification of Mitral Annulus

Mitral Annular Calcification (MAC) is a degenerative process involving the fibrous ring of the mitral valve. Caseous Calcification of Mitral Annulus (CCMA) is a rare variant of MAC. This condition is benign and usually needs no treatment. This is a case report of a 67-year-old woman with non-specific symptoms in whom a cardiac tumor was suspected by transthoracic Echocardiography. The use of mu...

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ژورنال

عنوان ژورنال: Revista Portuguesa de Cardiologia (English Edition)

سال: 2012

ISSN: 2174-2049

DOI: 10.1016/j.repce.2012.04.006