European Journal of Cardio-Thoracic Surgery 48 (2015) 174 doi:10.1093/ejcts/ezu409 Advance Access publication 23 October 2014
IMAGES IN CARDIO-THORACIC SURGERY
Cite this article as: Arnáiz-García ME, González-Santos JM, Ortíz de Murúa JA, López-Rodríguez J. Massive mitral valve calcification. Eur J Cardiothorac Surg 2015;48:174.
Massive mitral valve calcification María Elena Arnáiz-Garcíaa,*, Jose María González-Santosa, Jose Antonio Ortíz de Murúab and Javier López-Rodrígueza a b
Department of Cardiac Surgery, University Hospital of Salamanca, Salamanca, Spain Department of Cardiology, Complejo Asistencial de Zamora. Hospital Clínico “Virgen de la Concha”, Zamora, Spain
* Corresponding author. Department of Cardiac Surgery, University Hospital of Salamanca, Paseo de San Vicente 58-182, 37007 Salamanca, Spain. Tel: +34-923-291263; fax: +34-923-291263; e-mail: [email protected] (M.E. Arnáiz-García). Received 19 September 2014; accepted 29 September 2014
Keywords: Mitral • Valve • Calcification • Imaging
A 78-year old male patient was referred because of progressive dyspnoea. A diastolic murmur was detected and echocardiography showed two intracardiac masses (Fig. 1A). A computed tomography scan confirmed massive calcification of
the entire mitral valve (Fig. 1B and D). Associated with valve degenerative processes, mitral valve calcification implies challenging valve replacement procedures and recurrent prosthesis desinsertion.
Figure 1: (A) Echocardiographic image showing two intracardiac masses initially misdiagnosed as tumours, but then found to be consistent with calcification of the mitral valve. (B) Sagittal CT scan view reveals an intracardiac hyper-dense material identified as massive calcification of the mitral valve. (C) Unenhanced CT shows calcium between the left atrium and the left ventricle corresponding to a complete mitral valve calcification (arrow). (D) A sagittal CT scan view showing a donutshaped mitral valve, with calcification involving the entire valve and subvalvular apparatus. Because of the absence of severe symptoms and massive mitral calcification, surgery was temporarily ruled out in this patient. CT: computed tomography.
© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
IMAGES IN CARDIO-THORACIC SURGERY
Cite this article as: Arnáiz-García ME, González-Santos JM, Ortíz de Murúa JA, López-Rodríguez J. Massive mitral valve calcification. Eur J Cardiothorac Surg 2015;48:174.
Massive mitral valve calcification María Elena Arnáiz-Garcíaa,*, Jose María González-Santosa, Jose Antonio Ortíz de Murúab and Javier López-Rodrígueza a b
Department of Cardiac Surgery, University Hospital of Salamanca, Salamanca, Spain Department of Cardiology, Complejo Asistencial de Zamora. Hospital Clínico “Virgen de la Concha”, Zamora, Spain
* Corresponding author. Department of Cardiac Surgery, University Hospital of Salamanca, Paseo de San Vicente 58-182, 37007 Salamanca, Spain. Tel: +34-923-291263; fax: +34-923-291263; e-mail: [email protected] (M.E. Arnáiz-García). Received 19 September 2014; accepted 29 September 2014
Keywords: Mitral • Valve • Calcification • Imaging
A 78-year old male patient was referred because of progressive dyspnoea. A diastolic murmur was detected and echocardiography showed two intracardiac masses (Fig. 1A). A computed tomography scan confirmed massive calcification of
the entire mitral valve (Fig. 1B and D). Associated with valve degenerative processes, mitral valve calcification implies challenging valve replacement procedures and recurrent prosthesis desinsertion.
Figure 1: (A) Echocardiographic image showing two intracardiac masses initially misdiagnosed as tumours, but then found to be consistent with calcification of the mitral valve. (B) Sagittal CT scan view reveals an intracardiac hyper-dense material identified as massive calcification of the mitral valve. (C) Unenhanced CT shows calcium between the left atrium and the left ventricle corresponding to a complete mitral valve calcification (arrow). (D) A sagittal CT scan view showing a donutshaped mitral valve, with calcification involving the entire valve and subvalvular apparatus. Because of the absence of severe symptoms and massive mitral calcification, surgery was temporarily ruled out in this patient. CT: computed tomography.
© The Author 2014. Published by Oxford University Press on behalf of the European Association for Cardio-Thoracic Surgery. All rights reserved.
