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Rare disease
Two cases of massive mitral annular calcification mimicking left atrial neoplasms
  1. Simon William Dubrey1,
  2. Simon Pearse1,
  3. Maher Dahdal2,
  4. Richard Grocott-Mason1,
  5. Miles Dalby3,
  6. Tarun Mittal4
  1. 1Cardiology Department, Hillingdon Hospital, Uxbridge, Middlesex, UK
  2. 2Echocardiography Department, Hillingdon Hospital, Uxbridge, Middlesex, UK
  3. 3Cardiology Department, Harefield Hospital, Harefield, UK
  4. 4Radiology Department, Harefield Hospital, Harefield, UK
  1. Correspondence to Dr Simon William Dubrey, simon.dubrey{at}thh.nhs.uk

Summary

The authors describe two cases of massive mitral annular calcification, initially picked up on echocardiography and suspected of being neoplastic. Subsequent evaluation by CT scanning confirmed the location, aetiology, structure and diagnosis. Both cases demonstrated large masses, with calcification of varying density. This is likely explained by the presence of the previously reported amorphous caseous material demonstrated to be present within such mass structures. Such a feature is described as caseous degeneration. Both patients described have been managed conservatively with medical therapy, predominantly due to their age and general frailty.

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Footnotes

  • Competing interests None.

  • Patient consent Obtained.

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