![]() ![]() Although the image characteristics of the posterior mitral annulus suggested CCMA, additional findings warranted further work-up and studies.Īssociation of mitral annulus calcification, aortic valve calcification with carotid intima media thicknessįull Text Available Abstract Background Mitral annular calcification (MAC and aortic annular calcification (AVC may represent a manifestation of generalized atherosclerosis in the elederly. Here, we describe a case of CCMA combined with a mitral annulus abscess, manifesting as a waving, horn-like structure. ![]() It comprises a combination of calcium, fatty acids, and cholesterol, and is characterized by heterogeneity in echocardiographic images, with peripheral areas of calcification surrounding a central area of echolucency, resembling a periannular mass. Features of caseous calcification of the mitral valve on these imaging modalities are reviewed as the associations and clinical features.Ī Waving Horn on the Big Mitral Annulus Calcification: Caseous Calcification of the Mitral Annulus with Abscess Formationįull Text Available Caseous calcification of the mitral annulus (CCMA is a rare variant of mitral annular calcification. Often, this requires multimodality imaging with echocardiography, computed tomography, and magnetic resonance imaging. This variant which has a benign course can present as an intracardiac mass and needs to be differentiated from more sinister causes of calcified cardiac masses such as tumor, abscess, and infective vegetation. #SOPRO IMAGING 1.10 FOR MAC MAC#A case involving caseous calcification, a rare variant of MAC is presented. ![]() We propose that autonomic neuropathy may play a role in calcification of these structures at the base of the heart.Ĭaseous mitral annular calcification mimicking a lung tumor on chest X-rayĭirectory of Open Access Journals (Sweden)įull Text Available Mitral annular calcification (MAC is a common condition of the mitral valve apparatus. We describe a diabetic patient with autonomic neuropathy and extensive medial arterial calcification who also had calcification of the aortic valve and of the mitral valve annulus. There is also a high prevalence of diabetes mellitus among subjects with calcific aortic stenosis and mitral annular calcification. Medial arterial calcification (Monckeberg\\'s arteriosclerosis) is well described in diabetic patients with autonomic neuropathy. Medial arterial calcification, calcific aortic stenosis and mitral annular calcification in a diabetic patient with severe autonomic neuropathy. ![]()
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