open access

Vol 12, No 4 (2017)
Case Reports
Published online: 2017-09-19
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Caseous calcification of mitral annulus: malicious look and benign character

Katarzyna Starzyk, Anna Kot, Michał Spałek, Beata Wożakowska-Kapłon
DOI: 10.5603/FC.2017.0072
·
Folia Cardiologica 2017;12(4):390-393.

open access

Vol 12, No 4 (2017)
Case Reports
Published online: 2017-09-19

Abstract

Caseous calcification of the mitral annulus (CCMA) is a rare form of mitral valve calcification. We present a 82-year-old female patient, who was hospitalized due to heart failure symptoms and atrial fibrillation with heart rate 180/min. Echocardiography revealed a round mass attached to annulus and posterior leaflet of mitral valve. Based on the multimodal diagnostics: transoesophageal echocardiography, computed tomography and magnetic resonance imaging, CCMA was diagnosed. The improvement of the general state and conversion to sinus rhythm was achieved with pharmacotherapy. The patient was excluded from surgery, and qualified for periodic echocardiographic control.

Abstract

Caseous calcification of the mitral annulus (CCMA) is a rare form of mitral valve calcification. We present a 82-year-old female patient, who was hospitalized due to heart failure symptoms and atrial fibrillation with heart rate 180/min. Echocardiography revealed a round mass attached to annulus and posterior leaflet of mitral valve. Based on the multimodal diagnostics: transoesophageal echocardiography, computed tomography and magnetic resonance imaging, CCMA was diagnosed. The improvement of the general state and conversion to sinus rhythm was achieved with pharmacotherapy. The patient was excluded from surgery, and qualified for periodic echocardiographic control.
Get Citation

Keywords

caseous calcification, mitral valve

About this article
Title

Caseous calcification of mitral annulus: malicious look and benign character

Journal

Folia Cardiologica

Issue

Vol 12, No 4 (2017)

Pages

390-393

Published online

2017-09-19

DOI

10.5603/FC.2017.0072

Bibliographic record

Folia Cardiologica 2017;12(4):390-393.

Keywords

caseous calcification
mitral valve

Authors

Katarzyna Starzyk
Anna Kot
Michał Spałek
Beata Wożakowska-Kapłon

References (6)
  1. Abramowitz Y, Kazuno Y, Chakravarty T, et al. Mitral annulus calcification. J Am Coll Cardiol. 2015; 66(17): 1934–1941.
  2. Nagueh SF, Smiseth OA, Appleton CP, et al. Recommendations for the evaluation of left ventricular diastolic function by Echocardiography: an update from the American Society of Echocardiography and the European Association of Cardiovascular Imaging. Eur Heart J Cardiovasc Imaging. 2016; 17(12): 1321–1360.
  3. Gorol J, Krajewski A, Tajstra M, et al. Guz serca powodujący ciężką stenozę zastawki mitralnej — opis przypadku. Folia Cardiol Excerpta. 2013; 8: 68–72.
  4. Elgendy IY, Conti CR. Caseous calcification of the mitral annulus: a review. Clin Cardiol. 2013; 36(10): E27–E31.
  5. Kurnicka K, Samul J, Piotrowska-Kownacka D, et al. Multimodal diagnosis of caseous calcification of the mitral annulus in a patient with suspected left ventricular tumor. Pol Arch Intern Med. 2017; 127(4): 281–282.
  6. Hamasaki A, Uchida T, Sadahiro M. Spontaneous rupture of a caseous calcification of the mitral annulus in a hemodialysis patient. J Card Surg. 2017; 32(2): 85–87.

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