Why the study?
To describe a rare presentation of left atrial calcification, pericardial involvement, and a calcified inflammatory mass resembling vegetation on the mitral valve in late-stage ankylosing spondylitis.
Case Report
Highlights a rare cardiac manifestation of ankylosing spondylitis involving left atrial calcification and a calcified inflammatory mass on the mitral valve, which can mimic vegetation.
Rare cardiac calcifications in ankylosing spondylitis may risk misdiagnosis; this case extends the known spectrum but leaves open clinical implications.
Ankylosing spondylitis is a complex chronic disease that starts from the spine and sacroiliac joint, causes joint stiffness, and affects the quality of life. Aortic dilatation, aortic valve insufficiency, and heart block due to conduction system involvement are the leading accompanying cardiac pathologies. In this case report, we aimed to show a rare cardiac involvement of left atrial calcification, pericardial involvement, and formation of a calcified inflammatory mass that might be misdiagnosed as vegetation on the mitral valve in a late-stage ankylosing spondylitis patient, by using multimodality imaging and histopathological diagnosis.
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Karakurt et al. (2022) conducted a case report in Ankylosing Spondylitis.
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