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Case Reports
Severe mitral regurgitation and heart failure due to caseous calcification of the mitral annulus.
- Zoltán Pozsonyi, Attila Tóth, Hajnalka Vágó, Zsófia Adám, Astrid Apor, Nasri Alotti, Pál Sármán, Béla Merkely, and István Karádi.
- 3rd Department of Internal Medicine, Semmelweis University, Budapest, Hungary. pzoltan@kut.sote.hu
- Cardiology. 2011 Jan 1;118(2):79-82.
AbstractCaseous calcification is a rare form of mitral annular calcification. Echocardiography reveals an echodense mass in the inferior mitral annulus with smooth borders and an echolucent inner core. We present a case where caseous calcification of the mitral annulus caused severe mitral regurgitation, atrial fibrillation and heart failure. Transthoracic echocardiography, transesophageal echocardiography, cardiac magnetic resonance and computed tomography were performed and ensured the diagnosis. The mass was surgically removed and a prosthetic valve was implanted. We conclude that caseous calcification of the mitral annulus should be considered not only in the differential diagnosis of cardiac masses but also in the background of mitral regurgitation, atrial fibrillation and heart failure. This case also represents the usefulness of multimodal imaging in identifying cardiac masses.Copyright © 2011 S. Karger AG, Basel.
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