Caseous mitral annular calcification mimicking a lung tumor on chest X-ray

Mitral annular calcification (MAC) is a common condition of the mitral valve apparatus. A case involving caseous calcification, a rare variant of MAC is presented. This variant which has a benign course can present as an intracardiac mass and needs to be differentiated from more sinister causes of c...

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Bibliographic Details
Published in:Journal of Family Medicine and Primary Care
Main Authors: Philip Dingli, Herbert Felice, Adrian Mizzi, Stephen Montefort
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2017-01-01
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Online Access:http://www.jfmpc.com/article.asp?issn=2249-4863;year=2017;volume=6;issue=2;spage=442;epage=444;aulast=Dingli
Description
Summary:Mitral annular calcification (MAC) is a common condition of the mitral valve apparatus. A case involving caseous calcification, a rare variant of MAC is presented. This variant which has a benign course can present as an intracardiac mass and needs to be differentiated from more sinister causes of calcified cardiac masses such as tumor, abscess, and infective vegetation. Often, this requires multimodality imaging with echocardiography, computed tomography, and magnetic resonance imaging. Features of caseous calcification of the mitral valve on these imaging modalities are reviewed as the associations and clinical features.
ISSN:2249-4863