Intracardiac pseudotumor caused by mitral annular calcification

The current report describes a rare case of a pseudotumor in the left ventricle. Transthoracic and transesophageal echocardiography demonstrated a round, echodense, mobile mass attached to the posterior mitral leaflet and annulus. At surgical exploration caseous annular calcification of the posterio...

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Bibliographic Details
Published in:European journal of echocardiography 2006-01, Vol.7 (1), p.62-66
Main Authors: de Vrey, E A, Scholte, A J H A, Krauss, X H, Dion, R A, Poldermans, D, van der Wall, E E, Bax, J J
Format: Article
Language:English
Subjects:
Calcinosis - complications
Calcinosis - diagnostic imaging
Diagnosis, Differential
Echocardiography
Echocardiography, Transesophageal
Heart Neoplasms - diagnostic imaging
Heart Neoplasms - etiology
Humans
Hypertrophy, Left Ventricular - diagnostic imaging
Male
Middle Aged
Mitral Valve Insufficiency - complications
Mitral Valve Insufficiency - diagnostic imaging
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Description
Summary:The current report describes a rare case of a pseudotumor in the left ventricle. Transthoracic and transesophageal echocardiography demonstrated a round, echodense, mobile mass attached to the posterior mitral leaflet and annulus. At surgical exploration caseous annular calcification of the posterior mitral leaflet was diagnosed. After resection of the mass, successful mitral valvular plasty was performed. Review of the literature indicated that mitral annular calcification is associated with an increased risk of stroke. Optimal treatment may be surgery, especially when valve plasty can be performed, although randomized trials are currently lacking.
ISSN:1525-2167
DOI:10.1016/j.euje.2005.02.004