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Case Reports
. 2020 May;35(5):1145-1147.
doi: 10.1111/jocs.14545. Epub 2020 Apr 15.

Caseous calcification of the mitral annulus; scary image during robotic surgery

Serkan Asil  1 , Ender Murat  1 , Veysel Özgür Barış  2 , Suat Görmel  1 , Murat Çelik  1 , Uygar Çağdaş Yüksel  1 , Hasan Kutsi Kabul  1 , Cengiz Bolcal  3
Affiliations
Case Reports

Caseous calcification of the mitral annulus; scary image during robotic surgery

Serkan Asil et al. J Card Surg. 2020 May.

Abstract

Caseous calcification of the mitral annulus (CCMA) is a very rare form of mitral annular calcification (MAC). CCMA accounts for 0.63% of all cases and 0.06-0.07% of the total population and usually seen in elderly and female patients. It mostly affects the posterior leaflet of the mitral valve. The pathogenesis of CCMA remains unclear. Hypercholesterolemia and the dissolution of lipid-laden macrophages may be implicated in liquefaction necrosis. CCMA is composed of a mixture of calcium, fatty acid, and cholesterol. The name "caseous" comes from the cheese-like or toothpaste-like consistency of the mass. Cardiac magnetic resonance imaging may help in differentiating MAC from CCMA and should perform. The first treatment option should be conservative treatment because of surgical complications of the procedure. We presented a case report which is about CCMA with preoperative and intraoperative robotic images.

Keywords: cardiovascular pathology; valve repair/replacement.

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References

REFERENCES

    1. Deluca G, Correale M, Ieva R, Del Salvatore B, Gramenzi S, Di Biase M. The incidence and clinical course of caseous calcification of the mitral annulus: a prospective echocardiographic study. J Am Soc Echocardiogr. 2008;21:828-833.
    1. Elgendy IY, Conti CR. Caseous calcification of the mitral annulus: a review. Clin Cardiol. 2013;36:E27-E31.
    1. Hamdi I, Chourabi C, Arous Y, et al. Multimodality imaging assessment of a caseous calcification of the mitral valve annulus. J Saudi Heart Assoc. 2018;30:55-58.
    1. Pradella S, Verna S, Addeo G, Oddo A, Miele V. Caseous calcification of the mitral annulus. J Radiol Case Rep. 2019;13:1-10.
    1. Ghazawi FM, Vinco G, Walker M. Caseous calcification of the mitral annulus: a rare entity confirmed by cardiovascular magnetic resonance imaging. Int J Cardiovasc Imaging. 2018;34:25-26.

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