Key result
Preoperative and intraoperative robotic imaging demonstrated caseous calcification of the mitral annulus, a rare condition typically managed conservatively.
Case Report (n=1)
Caseous calcification of the mitral annulus is a rare condition where conservative treatment is generally preferred, but this case highlights its appearance during robotic surgery.
Robotic imaging aids rare mitral annular calcification detection; leaves open whether visualization alters conservative management preference.
Caseous calcification of the mitral annulus (CCMA) is a very rare form of mitral annular calcification (MAC). CCMA accounts for 0.63% of all cases and 0.06-0.07% of the total population and usually seen in elderly and female patients. It mostly affects the posterior leaflet of the mitral valve. The pathogenesis of CCMA remains unclear. Hypercholesterolemia and the dissolution of lipid-laden macrophages may be implicated in liquefaction necrosis. CCMA is composed of a mixture of calcium, fatty acid, and cholesterol. The name "caseous" comes from the cheese-like or toothpaste-like consistency of the mass. Cardiac magnetic resonance imaging may help in differentiating MAC from CCMA and should perform. The first treatment option should be conservative treatment because of surgical complications of the procedure. We presented a case report which is about CCMA with preoperative and intraoperative robotic images.
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Asıl et al. (2020) conducted a case report in Caseous calcification of the mitral annulus (n=1). Robotic surgery was evaluated. Preoperative and intraoperative robotic imaging demonstrated caseous calcification of the mitral annulus, a rare condition typically managed conservatively.
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