Surgical resection of a spontaneously ruptured caseous calcification of the mitral annulus without valve replacement can provide long-term symptom-free survival.
Supports valve preservation in this rare presentation; leaves open generalizability beyond a single hemodialysis case.
We report a 56-year-old hemodialysis patient with a spontaneously ruptured caseous calcification of the mitral annulus resulting in multiple cerebral emboli. The mass was resected without replacing the mitral valve. The patient has remained symptom-free 3.5 years following surgery.
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Hamasaki et al. (2017) studied this question.
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