Mitral annular caseous necrosis: insights from multimodality imaging.

Mitral annulus caseous calcification mimicking cardiac mass in asymptomatic patient – multimodality imaging approach to incidental echocardiographic finding

BACKGROUND Caseous calcification of mitral annulus is rather rare echocardiographic finding with prevalence of 0.6% in pts. with proven mitral annular calcification and 0.06% to 0.07% in large series of subjects in all ages. Echocardiographic images of caseous calcification are often heterogenous due to calcium and lipid deposits, and the masses show hyperechogenic and hypoechogenic areas. Howe...

Multimodality imaging assessment of a rare intracardiac mass: caseous calcification of the mitral valve annulus.

Caseous calcification of the mitral annulus with mitral regurgitation and impairment of functional capacity: a case report

INTRODUCTION Mitral annular calcification is a common echocardiographic finding, especially in the elderly. Caseous calcification of the mitral annulus, however, is a relatively rare variant, having an echocardiographic prevalence of 0.6% in patients with mitral annular calcification. Caseous calcification needs to be differentiated from infected mitral annular calcification, mitral annular abs...

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...

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...