Caseous calcification of the mitral annulus; scary image during robotic surgery.
J Card Surg
; 35(5): 1145-1147, 2020 May.
Article
en En
| MEDLINE
| ID: mdl-32293048
ABSTRACT
Caseous calcification of the mitral annulus (CCMA) is a very rare form of mitral annular calcification (MAC). CCMA accounts for 0.63% of all cases and 0.06-0.07% of the total population and usually seen in elderly and female patients. It mostly affects the posterior leaflet of the mitral valve. The pathogenesis of CCMA remains unclear. Hypercholesterolemia and the dissolution of lipid-laden macrophages may be implicated in liquefaction necrosis. CCMA is composed of a mixture of calcium, fatty acid, and cholesterol. The name "caseous" comes from the cheese-like or toothpaste-like consistency of the mass. Cardiac magnetic resonance imaging may help in differentiating MAC from CCMA and should perform. The first treatment option should be conservative treatment because of surgical complications of the procedure. We presented a case report which is about CCMA with preoperative and intraoperative robotic images.
Palabras clave
Texto completo:
1
Colección:
01-internacional
Banco de datos:
MEDLINE
Asunto principal:
Calcinosis
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Implantación de Prótesis de Válvulas Cardíacas
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Imagen Multimodal
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Procedimientos Quirúrgicos Robotizados
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Enfermedades de las Válvulas Cardíacas
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Válvula Mitral
Límite:
Aged
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Female
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Humans
Idioma:
En
Revista:
J Card Surg
Asunto de la revista:
CARDIOLOGIA
Año:
2020
Tipo del documento:
Article
País de afiliación:
Turquía