Key result
A multimodality imaging approach including echocardiography, CT, and MRI successfully diagnosed caseous calcification of the mitral annulus, avoiding unnecessary surgical intervention.
Why the study?
Caseous calcification of the mitral annulus is a rare variant of mitral annular calcification, and imaging modalities are needed to achieve a correct diagnosis and avoid unnecessary surgical intervention.
Case Report (n=1)
No
A multimodality imaging approach including echocardiography, CT, and MRI is essential for the accurate diagnosis of caseous calcification of the mitral annulus to avoid unnecessary surgical excision.
Raises awareness of CCMA as an incidental mitral mass mimic; leaves open need for standardized imaging criteria in larger cohorts.
Soft-tissue masses or mass-like lesions involving the mitral valve include a wide range of diseases such as tumors, abscesses, vegetations, thrombus and, rarely, caseous calcifications of the mitral annulus. Caseous calcifications of the mitral annulus is a rare variant of mitral annular calcification that is usually asymptomatic and diagnosed incidentally. Echocardiography is the first-choice imaging modality. Cardiac computed tomography is an ideal tool to confirm the presence of calcifications and caseous necrosis. In cases where there is doubt, cardiac magnetic resonance imaging may be used. We present the case of a 62-year-old patient with an intra-cardiac mass diagnosed by echocardiography. Imaging modalities to achieve a correct diagnosis and avoid unnecessary surgical intervention are discussed.
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Pradella et al. (2019) conducted a case report in Caseous Calcification of the Mitral Annulus (n=1). Conservative management was evaluated. A multimodality imaging approach including echocardiography, CT, and MRI successfully diagnosed caseous calcification of the mitral annulus, avoiding unnecessary surgical intervention.
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