Appropriate use of multimodality imaging is crucial for the accurate diagnosis of caseous calcification of the mitral annulus and the prevention of unnecessary surgical interventions.
Supports multimodality imaging to diagnose caseous mitral annular calcification and avert unnecessary surgery; leaves open prospective validation.
Masses or mass-like lesions located in proximity to mitral valve encompass a wide range of differential diagnoses including neoplasias, abscesses, thrombi, and rarely caseous calcification of mitral annulus. Due to asymptomatic presentation, its diagnosis is usually incidental. Echocardiography is the first choice of imaging in evaluation. Cardiac computed tomography (CT) is helpful in establishing diagnosis by showing dense calcifications while cardiac magnetic resonance imaging (MRI) is used primarily as a problem solving tool. Imaging in evaluation of mitral annulus caseous calcification is essential in order to prevent unnecessary operations.
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Balcı et al. (2015) studied this question.
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