Author(s)

Giuseppe Fede, Giuseppe Abate, Paola Belluardo, Carmelo Di Tommasi, Maria Luisa Guarrella, Nicoletta Guccione, Guglielmo Piccione, Salvatore Solarino, Giuseppe Sulsenti, Giovanni Tasca, Sabina Ficili

Department of Cardiovascular Disease, Maggiore Hospital, Modica, Italy.

The caseous calcification of the mitral annulus (CCMA) is a rare variant of the mitral annulus calcification (MAC), with prevalence of 0.067% in general population. It is usually an asymptomatic condition but rarely it can cause severe mitral valve dysfunction, embolization, and conduction abnormalities. Transthoracic echocardiography (TTE) is a useful diagnostic tool. However, it can be necessary a multi-modality imaging approach for a differential diagnosis among other intra-cardiac masses. We are presenting a case of CCMA in an 88-year-old woman admitted to our department for acute decompensation of chronic heart failure. TTE has shown pathognomonic findings of CCMA. Tridimensional trans-esophageal echocardiography (3D TEE) gave a better characterization of the CCMA, avoiding further diagnostic procedures.

Mitral Valve, Caseous Calcification, Tridimensional Echocardiography

Fede, G. , Abate, G. , Belluardo, P. , Tommasi, C. , Guarrella, M. , Guccione, N. , Piccione, G. , Solarino, S. , Sulsenti, G. , Tasca, G. and Ficili, S. (2020) Case Report: Caseous Calcification of the Mitral Annulus in an 88-Year-Old Woman. Open Journal of Internal Medicine, 10, 337-341. doi: 10.4236/ojim.2020.104035.