Caseous Calcification of the Mitral Annulus: A Review

Caseous calcification of the mitral annulus (CCMA) is a rare variant of mitral annular calcification (MAC). Since most cardiologists are unfamiliar with CCMA, it is commonly misdiagnosed as an abscess, tumor or infective vegetation on the mitral valve. In most cases, conservative management for this...

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Published inClinical cardiology (Mahwah, N.J.) Vol. 36; no. 10; pp. E27 - E31
Main Authors Elgendy, Islam Y., Conti, C. Richard
Format Journal Article
LanguageEnglish
Published New York Wiley Periodicals, Inc 01.10.2013
John Wiley & Sons, Inc
Subjects
Adult
Biopsy
Calcinosis - diagnosis
Calcinosis - epidemiology
Calcinosis - surgery
Cardiology
Diagnosis, Differential
Echocardiography
Female
Heart Valve Diseases - diagnosis
Heart Valve Diseases - epidemiology
Heart Valve Diseases - surgery
Heart Valve Prosthesis Implantation
Humans
Magnetic Resonance Imaging
Mitral Valve - diagnostic imaging
Mitral Valve - pathology
Mitral Valve - surgery
Predictive Value of Tests
Prevalence
Review
Reviews
Tomography, X-Ray Computed
Treatment Outcome
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Summary:Caseous calcification of the mitral annulus (CCMA) is a rare variant of mitral annular calcification (MAC). Since most cardiologists are unfamiliar with CCMA, it is commonly misdiagnosed as an abscess, tumor or infective vegetation on the mitral valve. In most cases, conservative management for this lesion is sufficient. In this review, we will discuss the various aspects of this condition and illustrate the gross and histologic pathology as well as various imaging modalities (Ultrasound, Computed tomography, Cardiac Magnetic resonance) to assess this unusual cardiac mass.
Bibliography:The authors have no funding, financial relationships, or conflicts of interest to disclose.
ObjectType-Case Study-3
SourceType-Scholarly Journals-1
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ObjectType-Review-1
ObjectType-Feature-5
ObjectType-Report-2
ObjectType-Article-4
ISSN:0160-9289
1932-8737
DOI:10.1002/clc.22199