Abstract
Mitral annular calcification is a chronic, degenerative process of the mitral valve fibrous ring, primarily involving the posterior annulus. This report presented a case of mitral annular calcification with mobile components which was found incidentally during TTE. The echocardiographic differential diagnosis of a mass includes thrombus, vegetation, primary or secondary cardiac tumor and extensive mitral annular calcification with mobile components.A calcified, mobile mass attached to the posterior mitral annulus should raise the suspicion of extensive mitral annular calcification. Serial echocardiograms in our patient documented that these mobile elements can resolve rapidly. The optimal treatment or clinical approach to this clinical condition remains to be established.
Keywords: Mobile, mitral, annular mass
Keywords
References
- Kato M, Nakatani S, Okazaki H, Tagusari O, Kitakaze M. Unusual appearance of mitral annular calcification mimicking intracardiac tumor prompting early surgery. Cardiology 2006; 106: 164-6.
- Fox CS, Vasan RS, Parise H, Levy D, O'Donnell CJ, D'Agostino RB, Benjamin EJ; Framingham Heart Study. Mitral annular calcification predicts cardiovascular morbidity and mortality: The Framingham Heart Study. Circulation 2003; 107: 1492Pomerance A. Pathological and clinical study of calcification of the mitral valve ring. J Clin Pathol 1970; 23: 354-61.
- Ribeiro S, Ramos A, Brandão A, Rebelo JR, Guerra A, Resina C, Vila-Lobos A, Carvalho F, Remédio F, Ribeiro F. Cardiac valve calcification in haemodialysis patients: Role of calcium-phosphate metabolism.Nephrol Dial Transplant 1998; 13: 2037-40.
- Jesri A, Braitman LE, Pressman GS. Severe mitral annular calcification predicts chronic kidney disease. Int J Cardiol 2008; 128: 193-6.
- Pounder DJ. Calcification of the mitral annulus and its complications. Am J Forensic Med Pathol 1982; 3: 109-13. de Vrey EA, Scholte AJ, Krauss XH, Dion RA, Poldermans D, van der Wall EE, Bax JJ. Intracardiac pseudotumor caused by mitral annular calcification. Eur J Echocardiogr 2006; 7: 62-6.
- Stein JH, Soble JS. Thrombus associated with mitral valve calcification. A possible mechanism for embolic stroke. Stroke 1995; 26: 1697-9.
- Harpaz D, Auerbach I, Vered Z, Motro M, Tobar A, Rosenblatt S. Caseous calcification of the mitral annulus: A neglected, unrecognized diagnosis. J Am Soc Echocardiogr 2001; 14: 825-31.
- Prasad NK, Alam M, Rosman HS, Silverman NA. Mitral Annular Calcification Mimicking an Intracardiac Mass. Echocardiography 1995; 12: 609-12.
Abstract
Mitral anuler kalsifikasyon özellikle posterior anulusu etkileyen, mitral kapağın fibröz halkasının kronik ve dejeneratif bir hastalığıdır. Bu yazıda transtorasik ekokardiyografi sırasında tesadüfen saptanan mobil komponentleri olan mitral anuler kalsifikasyon vakası sunulmaktadır. Kitlenin ekokardiyografik ayırıcı tanısı, trombüs, vejetasyon, primer ve sekonder kardiyak tümörler ve mobil komponentler ile birlikte yaygın mitral anüler kalsifikasyonu içermektedir. Posterior mitral anulusa yapışık kalsifiye ve mobil bir kitle, yaygın mitral anuler kalsifikasyon tanısını akla getirmelidir. Hastamızda seri ekokardiyografik incelemeler sonucunda bu mobil elementlerin hızlıca ortadan kaybolabileceği gösterilmiştir. Bu klinik durumda uygulanacak optimal tedavi veya klinik yaklaşım biçiminin yeni vakalar ile pekiştirimesi gerekmektedir.
Keywords
References
- Kato M, Nakatani S, Okazaki H, Tagusari O, Kitakaze M. Unusual appearance of mitral annular calcification mimicking intracardiac tumor prompting early surgery. Cardiology 2006; 106: 164-6.
- Fox CS, Vasan RS, Parise H, Levy D, O'Donnell CJ, D'Agostino RB, Benjamin EJ; Framingham Heart Study. Mitral annular calcification predicts cardiovascular morbidity and mortality: The Framingham Heart Study. Circulation 2003; 107: 1492Pomerance A. Pathological and clinical study of calcification of the mitral valve ring. J Clin Pathol 1970; 23: 354-61.
- Ribeiro S, Ramos A, Brandão A, Rebelo JR, Guerra A, Resina C, Vila-Lobos A, Carvalho F, Remédio F, Ribeiro F. Cardiac valve calcification in haemodialysis patients: Role of calcium-phosphate metabolism.Nephrol Dial Transplant 1998; 13: 2037-40.
- Jesri A, Braitman LE, Pressman GS. Severe mitral annular calcification predicts chronic kidney disease. Int J Cardiol 2008; 128: 193-6.
- Pounder DJ. Calcification of the mitral annulus and its complications. Am J Forensic Med Pathol 1982; 3: 109-13. de Vrey EA, Scholte AJ, Krauss XH, Dion RA, Poldermans D, van der Wall EE, Bax JJ. Intracardiac pseudotumor caused by mitral annular calcification. Eur J Echocardiogr 2006; 7: 62-6.
- Stein JH, Soble JS. Thrombus associated with mitral valve calcification. A possible mechanism for embolic stroke. Stroke 1995; 26: 1697-9.
- Harpaz D, Auerbach I, Vered Z, Motro M, Tobar A, Rosenblatt S. Caseous calcification of the mitral annulus: A neglected, unrecognized diagnosis. J Am Soc Echocardiogr 2001; 14: 825-31.
- Prasad NK, Alam M, Rosman HS, Silverman NA. Mitral Annular Calcification Mimicking an Intracardiac Mass. Echocardiography 1995; 12: 609-12.
Details
| Primary Language | English |
|---|---|
| Journal Section | Case Reports |
| Authors | |
| Publication Date | February 14, 2014 |
| Published in Issue | Year 2013Volume 35, Issue 4 (2013): Supplement |