Imaging of Caseous Mitral Annulus Calcification
We present 2 cases of caseous mitral annulus calcification (MAC) in which one patient was asymptomatic whereas the second experienced left hemianopsia. Both patients underwent transthoracic and transesophageal echocardiography exams which revealed severe MAC with a mass consistent with caseous MAC. A mobile component of the caseous MAC was observed in the patient with left hemianopsia. Cardiac computerized tomography angiography confirmed the diagnosis. Considering the high surgical risk of caseous MAC debridement, both patients were treated conservatively with uneventful clinical follow-up.
Authors
- Rafael Kuperstein (ORCID: https://orcid.org/0000-0002-1892-9403)
- Yafim Brodov (ORCID: https://orcid.org/0000-0002-9069-7301)
- Sagit Ben Zekry
- Elena Bekker
- Roni Levin (ORCID: https://orcid.org/0009-0005-2932-7570)
- Leonid Sternik (ORCID: https://orcid.org/0000-0001-7180-9286)
- Orly Goitein (ORCID: https://orcid.org/0000-0003-2027-874X)
- Avigdor Bar Sef
- Haim Wexler Dov
- Adi Butanero
Institutions
- Tel Aviv University (IL)
- Sheba Medical Center (IL)
- Meir Medical Center (IL)
- Clalit Health Services (IL)
Publication Details
- Journal
- JACC Case Reports
- Published
- 2024-12-01
- DOI
- https://doi.org/10.1016/j.jaccas.2024.102979
- Primary Topic
- Cardiac Valve Diseases and Treatments
- Type
- article
- Field-Weighted Citation Impact
- 0.00