Caseous mitral annular calcifications: Multimodality imaging characteristics

Mitral annular caseous necrosis: insights from multimodality imaging.

Funding Editorial support was funded by Sanofi and Regeneron Pharmaceuticals, Inc. Conflict of interest: G.K.H.: none declared; M.H.D.: acted as consultant/advisory board member for Amgen, AstraZeneca, Merck, and Sanofi-Aventis and a stockholder in Omthera Pharmaceuticals, Inc.; J.J.P.K.: a consultant to Regeneron, Sanofi, Eli Lilly, Amgen, Aegerion, Merck, Isis, Genzyme, Novartis, Kowa; A.M.O....

Multimodality cardiac imaging in the evaluation of mitral annular caseous calcification.

A77-year-old man with severe aortic stenosis was referred for consideration of aortic valve replacement. He admitted to mild exertional dyspnea and was systemically well. His past medical history was remarkable for hypertension, hypercholesterolemia, and a previous transient ischemic attack. A transthoracic echocardiogram confirmed severe calcific aortic stenosis (peak gradient 95mm Hg, estimat...

Large Caseous Mitral Annular Calcification

A 68-year-old woman presented with exertional dyspnea, angina, and syncope. She was undergoing renal dialysis (3 times weekly, for one year) and was taking nifedipine for hypertension. Laboratory results suggested secondary hyperparathyroidism and hypercalcemia. Auscultation revealed a severe systolic murmur at the left upper parasternal border and a moderate diastolic murmur at the cardiac ape...

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...

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