What is the clinical evidence from this study?

Study design: Case Report. Population: Caseous calcification of the mitral annulus (n=1). Intervention: Mitral valve replacement.

What question did this study set out to answer?

To evaluate the diagnostic role of multimodality imaging and subsequent surgical management in a patient presenting with caseous calcification of the mitral annulus.

July 5, 2011European Journal of Cardio-Thoracic SurgeryOpen Access

Multimodality imaging of caseous calcification of mitral annulus

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Key result

Multimodality imaging identified caseous calcification of the mitral annulus in a 73-year-old woman, which was successfully treated with mitral valve replacement.

Key Points

To evaluate the diagnostic role of multimodality imaging and subsequent surgical management in a patient presenting with caseous calcification of the mitral annulus.
Assessed a 73-year-old female presenting with sinoatrial block using transthoracic echocardiography, three-dimensional computed tomography, and cardiac magnetic resonance imaging.
Performed surgical debridement of the intracardiac lesion and executed a posterior leaflet-preserving mitral valve replacement with a 25-mm Mosaic Ultra bioprosthesis.
Transthoracic echocardiogram identified a 2.5 cm × 3.0 cm echo-dense mass in the posterior periannular region causing moderate mitral stenosis with a transmitral mean pressure gradient of 5 mmHg.
Computed tomography revealed a hyperdense mass, and cardiac MRI showed a complete absence of tissue signals on both T1- and T2-weighted sequences, indicating dense calcification rather than neoplasm.
Intraoperative inspection confirmed a soft cavity filled with toothpaste-like material along the posterior leaflet, successfully treated with debridement and bioprosthetic replacement.

Study Design

Type

Case Report (n=1)

Structured PICO

Population

A 73-year-old woman presenting with sinoatrial block and caseous calcification of the mitral annulus.

Intervention

Multimodality imaging (echocardiography, CT, MRI) and subsequent mitral valve replacement using a 25-mm Mosaic Ultra bioprosthesis.

Outcome

Diagnosis and surgical treatment of caseous calcification of the mitral annulus.

Multimodality imaging including echocardiography, CT, and MRI is useful for diagnosing caseous calcification of the mitral annulus, which can mimic a cardiac tumor.

Discussion

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Implication

Multimodality imaging aids differentiation of annular masses; case reports leave optimal management open to prospective study.

Cite This Study

Fujiwara et al. (2011) conducted a case report in Caseous calcification of the mitral annulus (n=1). Mitral valve replacement was evaluated. Multimodality imaging identified caseous calcification of the mitral annulus in a 73-year-old woman, which was successfully treated with mitral valve replacement.

synapsesocial.com/papers/6a9c407f8880228eef0e5278 https://doi.org/10.1016/j.ejcts.2011.04.039

Topics

Valvular heart disease

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Multimodality imaging of caseous calcification of mitral annulus

Key Points

Study Design

Structured PICO

Discussion

Implication

Cite This Study

Topics

Multimodality imaging of caseous calcification of mitral annulus

Key Points

Study Design

Structured PICO

Discussion

Implication

Cite This Study

Also Consider

Topics

Also Consider