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Case Report: Caseous Calcification of the Mitral Annulus in an 88-Year-Old Woman
Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
- 1 Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
- 2 Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
- 3 Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
- 4 Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
- 5 Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
- 6 Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
- 7 Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
- 8 Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
- 9 Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
- 10 Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
- 11 Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy
Open Journal of Internal Medicine·Volume 10 (2020)·Pages 337–341·Published 23 October 2020·DOI10.4236/ojim.2020.104035
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Abstract
The caseous calcification of the mitral annulus (CCMA) is a rare variant of the mitral annulus calcification (MAC), with prevalence of 0.067% in general population. It is usually an asymptomatic condition but rarely it can cause severe mitral valve dysfunction, embolization, and conduction abnormalities. Transthoracic echocardiography (TTE) is a useful diagnostic tool. However, it can be necessary a multi-modality imaging approach for a differential diagnosis among other intra-cardiac masses. We are presenting a case of CCMA in an 88-year-old woman admitted to our department for acute decompensation of chronic heart failure. TTE has shown pathognomonic findings of CCMA. Tridimensional trans-esophageal echocardiography (3D TEE) gave a better characterization of the CCMA, avoiding further diagnostic procedures.
KeywordsMitral ValveCaseous CalcificationTridimensional Echocardiography
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