Chameleonic appearance of caseous calcification of the mitral valve - still a problem for its appropriate management.
Journal
Romanian journal of morphology and embryology = Revue roumaine de morphologie et embryologie
ISSN: 2066-8279
Titre abrégé: Rom J Morphol Embryol
Pays: Romania
ID NLM: 9112454
Informations de publication
Date de publication:
Historique:
entrez:
5
2
2021
pubmed:
6
2
2021
medline:
18
9
2021
Statut:
ppublish
Résumé
According to the research literature, the caseous calcification of the mitral annulus (CCMA) is a rare variant of the mitral annulus calcification (MAC) entity, described mostly in elderly women. The aim of this study was to present the case of a 53-year-old female patient with caseous calcification of the mitral valve annulus and posterior cusp, which was diagnosed as papillary fibroelastoma. An echo-dense and quasi-homogeneous tumoral mass, measuring 1.6∕1.4 cm, at the level of the posterior mitral ring was detected by echocardiographic examination, as well as by cardiac magnetic resonance imaging (MRI). Histopathological analysis revealed fibrous connective tissue with myxoid areas, hyaline degeneration with unstructured necrosis and dystrophic calcifications, which was consisting with the operative findings of a "toothpaste tumor", or caseous calcification of the mitral valve. Differential diagnosis with other cardiac tumors, abscesses, thrombi or fibroelastomas is emphasized.
Identifiants
pubmed: 33544807
pii: 610220545550
doi: 10.47162/RJME.61.2.25
pmc: PMC7864315
doi:
Types de publication
Case Reports
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
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