A Waving Horn on the Big Mitral Annulus Calcification: Caseous Calcification of the Mitral Annulus with Abscess Formation

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 a...

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Main Authors: Li-Tan Yang, Hsuan-Yin Wu, Chwan-Yau Luo, I-Chuang Liao, Wei-Chuan Tsai
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2014-06-01
Series:Journal of Medical Ultrasound
Subjects:
Online Access:http://www.sciencedirect.com/science/article/pii/S0929644114000435
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author Li-Tan Yang
Hsuan-Yin Wu
Chwan-Yau Luo
I-Chuang Liao
Wei-Chuan Tsai
author_facet Li-Tan Yang
Hsuan-Yin Wu
Chwan-Yau Luo
I-Chuang Liao
Wei-Chuan Tsai
author_sort Li-Tan Yang
collection DOAJ
description 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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spelling doaj.art-4df1533758534d2187579072d9ee86d92022-12-21T19:42:19ZengWolters Kluwer Medknow PublicationsJournal of Medical Ultrasound0929-64412014-06-0122211011310.1016/j.jmu.2014.03.001A Waving Horn on the Big Mitral Annulus Calcification: Caseous Calcification of the Mitral Annulus with Abscess FormationLi-Tan Yang0Hsuan-Yin Wu1Chwan-Yau Luo2I-Chuang Liao3Wei-Chuan Tsai4Department of Internal Medicine, National Cheng Kung University Hospital Dou-Liou Branch, Yunlin, TaiwanDepartment of Surgery, E-Da Hospital, Kaohsiung, TaiwanDivision of Cardiovascular Surgery, Department of Surgery, National Cheng Kung University Hospital, TaiwanDepartment of Pathology, National Cheng Kung University Hospital, TaiwanDivision of Cardiology, Department of Internal Medicine, National Cheng Kung University Hospital, Tainan, TaiwanCaseous 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.http://www.sciencedirect.com/science/article/pii/S0929644114000435abscessliquefaction necrosismitral annulus calcification
spellingShingle Li-Tan Yang
Hsuan-Yin Wu
Chwan-Yau Luo
I-Chuang Liao
Wei-Chuan Tsai
A Waving Horn on the Big Mitral Annulus Calcification: Caseous Calcification of the Mitral Annulus with Abscess Formation
Journal of Medical Ultrasound
abscess
liquefaction necrosis
mitral annulus calcification
title A Waving Horn on the Big Mitral Annulus Calcification: Caseous Calcification of the Mitral Annulus with Abscess Formation
title_full A Waving Horn on the Big Mitral Annulus Calcification: Caseous Calcification of the Mitral Annulus with Abscess Formation
title_fullStr A Waving Horn on the Big Mitral Annulus Calcification: Caseous Calcification of the Mitral Annulus with Abscess Formation
title_full_unstemmed A Waving Horn on the Big Mitral Annulus Calcification: Caseous Calcification of the Mitral Annulus with Abscess Formation
title_short A Waving Horn on the Big Mitral Annulus Calcification: Caseous Calcification of the Mitral Annulus with Abscess Formation
title_sort waving horn on the big mitral annulus calcification caseous calcification of the mitral annulus with abscess formation
topic abscess
liquefaction necrosis
mitral annulus calcification
url http://www.sciencedirect.com/science/article/pii/S0929644114000435
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