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Updated: May 11, 2026

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
Mitral annular caseous calcification: a rare variant of a common echocardiographic finding discovered with advanced
William L Pomeroy1, Brian Markelz, Kevin Steel
1Cardiology Service, San Antonio Military Medical Center, 3851 Roger Brooke Drive, San Antonio Army Medical Center, San Antonio, TX 78234-6200, USA.
Abstract:
We present the case of a 90-year-old diabetic male and medically managed three-vessel coronary artery disease with evidence of an oval, nonmobile echo-density located on the posterior mitral valve annulus measuring two centimeters in diameter without significant impingement of the mitral valve on initial screening echocardiogram which was initially thought to be prominent mitral annular calcification which was later confirmed to be a rare case of caseoma as confirmed by both cardiac magnetic resonance (CMR) as well as coronary computed tomographic angiography (CCTA).
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