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Shapera EA, Karimi A, Castellanos LR. A large cardiac mass: diagnosis of caseous mitral annular calcification and determining optimum management strategy. Case Rep Med. 2014;2014:637374doi: 10.1155/2014/637374.
Shapera, E. A., Karimi, A., & Castellanos, L. R. (2014). A large cardiac mass: diagnosis of caseous mitral annular calcification and determining optimum management strategy. Case reports in medicine, 2014637374. https://doi.org/10.1155/2014/637374
Shapera, Emanuel A, et al. "A large cardiac mass: diagnosis of caseous mitral annular calcification and determining optimum management strategy." Case reports in medicine vol. 2014 (2014): 637374. doi: https://doi.org/10.1155/2014/637374
Shapera EA, Karimi A, Castellanos LR. A large cardiac mass: diagnosis of caseous mitral annular calcification and determining optimum management strategy. Case Rep Med. 2014;2014:637374. doi: 10.1155/2014/637374. Epub 2014 Jun 17. PMID: 25028589; PMCID: PMC4084408.
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Case Rep Med. 2014;2014:637374. doi: 10.1155/2014/637374. Epub 2014 Jun 17.

A large cardiac mass: diagnosis of caseous mitral annular calcification and determining optimum management strategy.

Case reports in medicine

Emanuel A Shapera, Afshin Karimi, Luis R Castellanos

Affiliations

  1. UCSD School of Medicine, La Jolla, CA, USA.
  2. UCSD School of Medicine, La Jolla, CA, USA ; Department of Radiology, UCSD School of Medicine, La Jolla, CA, USA.
  3. UCSD School of Medicine, La Jolla, CA, USA ; Department of Medicine and Division of Cardiovascular Medicine, UCSD Sulpizio Family Cardiovascular Center, La Jolla, CA 92093, USA.

PMID: 25028589 PMCID: PMC4084408 DOI: 10.1155/2014/637374

Abstract

A 64-year-old woman with dizziness and blurry vision underwent an evaluation for a possible stroke with a head-neck CT scan and a transthoracic echocardiogram. The head-neck CT scan was unremarkable, but the echocardiogram was notable for a 2.0 × 2.3 cm heterogeneous echodensity attached to the mitral valve. After a transesophageal echocardiogram and chest CT scan, the mass was determined to be a caseous mitral annular calcification, CMAC. This entity is a rare variant of MAC with an estimated prevalence of 0.068%. Echocardiographic techniques can distinguish CMAC from other intracardiac masses such as tumor, cyst, or abscess. CMAC is associated with cerebrovascular accidents; however, optimal treatment is controversial given the rarity of this clinical finding. Management strategies should be tailored based on the patient's presentation, risk factors, and overall clinical circumstances.

References

  1. Rev Port Cardiol. 2012 Apr;31(4):313-6 - PubMed
  2. Circulation. 2003 Mar 25;107(11):1492-6 - PubMed
  3. J Am Soc Echocardiogr. 2001 Aug;14(8):825-31 - PubMed
  4. Case Rep Med. 2013;2013:972684 - PubMed
  5. Am J Cardiol. 1998 Nov 15;82(10):1183-6 - PubMed
  6. Eur Heart J. 2009 Feb;30(3):304 - PubMed
  7. J Am Soc Echocardiogr. 2008 Jul;21(7):828-33 - PubMed
  8. J Clin Pathol. 1970 May;23(4):354-61 - PubMed
  9. Am J Cardiol. 1990 Jun 15;65(22):1511-2 - PubMed
  10. N Engl J Med. 1992 Aug 6;327(6):374-9 - PubMed
  11. Circulation. 1991 Jan;83(1):70-8 - PubMed
  12. Am J Cardiol. 1989 Apr 15;63(13):1006-8 - PubMed

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