A waving horn on the big mitral annulus calcification

Caseous calcification of the mitral annulus with abscess formation

Li Tan Yang, Hsuan Yin Wu, Chwan-Yau Luo, I-Chuang Liao, Wei-Chuan Tsai

Research output: Contribution to journalArticle

Abstract

Caseous calcification of the mitral annulus (CCMA) is a rare variant of mitral annular calcification. It comprises a combination of calcium, fatty acids, and cholesterol, and is characterized by heterogeneity in echocardiographic images, with peripheral areas of calcification surrounding a central area of echolucency, resembling a periannular mass. Here, we describe a case of CCMA combined with a mitral annulus abscess, manifesting as a waving, horn-like structure. Although the image characteristics of the posterior mitral annulus suggested CCMA, additional findings warranted further work-up and studies.

Original languageEnglish
Pages (from-to)110-113
Number of pages4
JournalJournal of Medical Ultrasound
Volume22
Issue number2
DOIs
Publication statusPublished - 2014 Jan 1

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Horns
Abscess
Fatty Acids
Cholesterol
Calcium

All Science Journal Classification (ASJC) codes

  • Radiology Nuclear Medicine and imaging

Cite this

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AU - Liao, I-Chuang

AU - Tsai, Wei-Chuan

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AB - Caseous calcification of the mitral annulus (CCMA) is a rare variant of mitral annular calcification. It comprises a combination of calcium, fatty acids, and cholesterol, and is characterized by heterogeneity in echocardiographic images, with peripheral areas of calcification surrounding a central area of echolucency, resembling a periannular mass. Here, we describe a case of CCMA combined with a mitral annulus abscess, manifesting as a waving, horn-like structure. Although the image characteristics of the posterior mitral annulus suggested CCMA, additional findings warranted further work-up and studies.

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