The Forgotten Variable of Shear Stress in Mitral Annular Calcification: Whole Blood Viscosity

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The Forgotten Variable of Shear Stress in Mitral Annular Calcification: Whole Blood Viscosity

OBJECTIVE The aim of this research was to assess the relationship between mitral annular calcification (MAC) and whole blood viscosity (WBV). SUBJECTS AND METHODS A total of 184 patients with MAC and 133 patients without MAC were enrolled in the study. The WBV was calculated with a confirmed formulation using the hematocrit and total plasma protein at a low shear rate (LSR) and high shear rat...

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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...

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Functional mitral stenosis in patients with massive mitral annular calcification.

Mitral insufficiency with mitral annular calcification occurring predominantly in elderly females has been described. We studied six patients with mitral diastolic obstruction associated with mitral annular calcification without stenosis of the mitral leaflets. Three were males and three were females, aged 43-77 years. All had significant diastolic gradients across the mitral valve (mean gradie...

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Mitral annular calcification as a cause of mitral valve gradients.

BACKGROUND Mitral annular calcification (MAC) is common, particularly in the elderly. While thought to occasionally produce significant mitral regurgitation, it is considered a rare cause of mitral stenosis. METHODS Echocardiogram reports from general cardiology outpatients were searched for phrases regarding severe MAC and, separately, for mitral stenosis. Rheumatic disease or other mitral v...

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Intracardiac pseudotumor caused by mitral annular calcification.

The current report describes a rare case of a pseudotumor in the left ventricle. Transthoracic and transesophageal echocardiography demonstrated a round, echodense, mobile mass attached to the posterior mitral leaflet and annulus. At surgical exploration caseous annular calcification of the posterior mitral leaflet was diagnosed. After resection of the mass, successful mitral valvular plasty wa...

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ژورنال

عنوان ژورنال: Medical Principles and Practice

سال: 2015

ISSN: 1011-7571,1423-0151

DOI: 10.1159/000431362