Key result
Tridimensional trans-esophageal echocardiography provided better characterization of caseous calcification of the mitral annulus in an 88-year-old woman, avoiding further diagnostic procedures.
Why the study?
Caseous calcification of the mitral annulus is rare and usually asymptomatic, but multi-modality imaging may be needed to differentiate it from other intracardiac masses.
Case Report (n=1)
3D TEE is a useful imaging modality for characterizing caseous calcification of the mitral annulus, especially when contrast-based imaging is contraindicated.
The caseous calcification of the mitral annulus (CCMA) is a rare variant of the mitral annulus calcification (MAC), with prevalence of 0.067% in general population. It is usually an asymptomatic condition but rarely it can cause severe mitral valve dysfunction, embolization, and conduction abnormalities. Transthoracic echocardiography (TTE) is a useful diagnostic tool. However, it can be necessary a multi-modality imaging approach for a differential diagnosis among other intra-cardiac masses. We are presenting a case of CCMA in an 88-year-old woman admitted to our department for acute decompensation of chronic heart failure. TTE has shown pathognomonic findings of CCMA. Tridimensional trans-esophageal echocardiography (3D TEE) gave a better characterization of the CCMA, avoiding further diagnostic procedures.
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Fede et al. (2020) conducted a case report in Caseous calcification of the mitral annulus (n=1). Tridimensional trans-esophageal echocardiography (3D TEE) was evaluated on Characterization of CCMA. Tridimensional trans-esophageal echocardiography provided better characterization of caseous calcification of the mitral annulus in an 88-year-old woman, avoiding further diagnostic procedures.
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