Cor Vasa 2010, 52(5-6):359-361 | DOI: 10.33678/cor.2010.090

Caseous calcification of the mitral annulus

David Nešpor^*, Jan Černý

Centrum kardiovaskulární a transplantační chirurgie, Brno, Česká republika

Caseous calcification of the mitral annulus is a rare form of mitral annular calcification which may often cause diagnostic quandary. We report the case of a 69-year-old man scheduled for cardiac surgery on suspicion of a malignant process involving the posterior mitral annulus and encroaching upon the left atrium and left ventricular myocardium. During surgery, a caseous calcification of the mitral annulus was detected; a large quantity of white, toothpaste-like, caseous material was obtained, eliminating the suspicion of a tumour. Following surgery, motility of the posterior mitral valve leaflet was regained and the mitral valve gradient decreased from 6 mmHg to 2 mmHg. The surgical procedure was uneventful.

Keywords: Caseous calcification of the mitral annulus; Myocardial pseudotumour

Published: May 1, 2010  Show citation