Key result
Conservative management of a 60-year-old female with caseous mitral annular calcification presenting as retinal artery occlusion resulted in no further complications at 3-month follow-up.
Why the study?
There is no clear consensus in the literature or standardized management approach for caseous mitral annular calcification, including whether surgery is appropriate to prevent systemic embolization.
Population
One 60-year-old female presenting with retinal artery occlusion from CMAC
Design
Case report
Follow-up
3 months
Authors
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Conservative management may be feasible in select CMAC embolization cases; leaves open need for comparative trials versus surgery.
Case Report (n=1)
No
This case demonstrates that conservative management with antiplatelet and statin therapy may be a viable approach for caseous mitral annular calcification presenting with systemic embolization, despite some literature suggesting surgical intervention.
Gower et al. (2023) conducted a case report in Caseous Mitral Annular Calcification (n=1). Conservative management was evaluated. Conservative management of a 60-year-old female with caseous mitral annular calcification presenting as retinal artery occlusion resulted in no further complications at 3-month follow-up.
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