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Mitral annulus caseous calcification mimicking cardiac mass in asymptomatic patient : multimodality imaging approach to incidental echocardiographic finding

Mitral annulus caseous calcification mimicking cardiac ...

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dc.contributor.author Możeńska, Olga pl
dc.contributor.author Sypuła, Sławomir pl
dc.contributor.author Celińska-Spoder, Małgorzata pl
dc.contributor.author Walecki, Jerzy pl
dc.contributor.author Kosior, Dariusz A. pl
dc.date.accessioned 2017-08-09T09:36:53Z
dc.date.available 2017-08-09T09:36:53Z
dc.date.issued 2014 pl
dc.identifier.issn 1733-134X pl
dc.identifier.uri http://ruj.uj.edu.pl/xmlui/handle/item/43138
dc.language eng pl
dc.rights Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska *
dc.rights.uri http://creativecommons.org/licenses/by-nc-nd/3.0/pl/legalcode *
dc.title Mitral annulus caseous calcification mimicking cardiac mass in asymptomatic patient : multimodality imaging approach to incidental echocardiographic finding pl
dc.type JournalArticle pl
dc.description.physical 88-90 pl
dc.description.additional Bibliogr. s. 90 pl
dc.abstract.en Background: Caseous calcification of mitral annulus is rather rare echocardiographic finding with prevalence of 0.6% in pts. with proven mitral annular calcification and 0.06% to 0.07% in large series of subjects in all ages. Echocardiographic images of caseous calcification are often heterogenous due to calcium and lipid deposits, and the masses show hyperechogenic and hypoechogenic areas. However the appearance of caseous calcification can imitate that of abscess, tumors and cysts, surgical treatment may not be needed when there is no obstruction. Case Report: 76-year old obese (BMI 32 kg/m2), female patient with history of hypertension, stable coronary artery disease, diabetes type 2 and hyperlipidemia presented with no symptoms of mitral valve dysfunction and had no abnormalities on physical exam. Transesophageal echocardiography identified well-organized, composite, immobile lesion (22×15 mm) localized in the posterior part of the mitral annulus, with markedly calcified margins, and no significant impact on the valve function. In computed tomography (CT) lesion was described as calcified (24×22×17.5 mm), connected with posterior leaflet and posterior part of the mitral annulus, reducing posterior leaflet mobility. CT brought the suggestion of caseous mitral annular calcification. Coming to a conclusion, bearing in mind no mitral valve dysfunction at that time, patient was offered conservative treatment. Conclusions: Although caseous mitral annular calcification is typically an incidental finding, accurate recognition is needed to avoid mistaking the lesion for a tumor or abscess, which may result in unnecessary cardiac surgery. However this entity is diagnosed on cardiac MRI, multi-modality imaging, especially non-contrast CT, allows for the confident, prospective diagnosis. pl
dc.subject.en multimodality imaging pl
dc.subject.en mitral annulus calcification pl
dc.subject.en mitral valve pl
dc.description.volume 79 pl
dc.identifier.doi 10.12659/PJR.889830 pl
dc.identifier.eissn 1899-0967 pl
dc.title.journal Polish Journal of Radiology pl
dc.language.container eng pl
dc.subtype Article pl
dc.rights.original CC-BY-NC-ND; otwarte czasopismo; ostateczna wersja wydawcy; w momencie opublikowania; 0; pl


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Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska Except where otherwise noted, this item's license is described as Udzielam licencji. Uznanie autorstwa - Użycie niekomercyjne - Bez utworów zależnych 3.0 Polska