Related Experiment Video
Updated: May 5, 2026
04:40
Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
14.9K
Caseous calcification of the mitral annulus.
Fabian Plank1, Donya Al-Hassan, Giang Nguyen
1Department of Radiology, St. Paul's Hospital, Vancouver, Canada; ; Department of Radiology, Innsbruck Medical University, Innsbruck, Austria;
Cardiovascular Diagnosis and Therapy
|November 28, 2013
Summary
A case of atypical mitral annular calcification presented as an obstructive mass in the left ventricular outflow tract. This benign condition, typically found elsewhere, was diagnosed via cardiac computed tomography (CT) and surgery was deferred.
Area of Science:
- Cardiovascular Imaging
- Cardiac Pathology
Background:
- Echocardiography is crucial for diagnosing cardiac masses and valve abnormalities.
- Left ventricular outflow tract obstruction can result from various intracardiac masses.
Observation:
- A 61-year-old woman presented with an asymptomatic systolic murmur.
- Echocardiography revealed an echodense mass in the left ventricular outflow tract.
- Cardiac CT confirmed a calcified mass on the anterior mitral valve leaflet.
Findings:
- The mass was diagnosed as caseous calcification, a benign condition.
- This represented an atypical location for caseous calcification, which commonly affects the mitral annulus.
Implications:
- Accurate diagnosis through advanced imaging (echocardiography and CT) is vital for appropriate management.
- Recognizing atypical presentations of benign conditions like caseous calcification can prevent unnecessary surgical intervention.
- This case highlights the importance of considering varied etiologies for left ventricular outflow tract obstruction.
More Related Videos
Related Concept Videos
01:23Mitral Stenosis II: Clinical features and Diagnostic Tests
564
Mitral stenosis is a heart condition in which the mitral valve, which allows blood to flow from the left atrium to the left ventricle, becomes narrowed or stenotic. This narrowing hinders blood flow and leads to clinical symptoms requiring specific medical evaluations and management strategies. The following overview outlines the clinical symptoms, assessments, diagnostic findings, prevention methods, and treatments for mitral stenosis.Clinical ManifestationsDyspnea (shortness of breath): This...
564
01:22Mitral Stenosis I: Introduction
1.8K
Mitral Valve Stenosis (MVS) is a heart condition where the mitral valve narrows, impeding blood circulation from the left atrium to the left ventricle. The etiology and pathophysiology of this condition are multifaceted, leading to a cascade of cardiovascular complications.Causes of Mitral Valve StenosisRheumatic Heart Disease: It is the main cause of mitral valve stenosis, particularly in developing nations. This condition arises from rheumatic fever, an inflammatory illness resulting from...
1.8K
01:27Mitral Valve Prolapse I: Introduction
1.1K
IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...
1.1K
01:22Mitral Valve Prolapse II: Assessment and Management
1.4K
IntroductionA range of clinical features characterizes Mitral Valve Prolapse (MVP), but it is important to note that many individuals with MVP are asymptomatic and may remain so throughout their lives. For those who do exhibit symptoms, the following are the key clinical features:Palpitations: This is a common symptom where individuals feel an irregular or rapid heartbeat. Palpitations in MVP are often due to arrhythmias such as premature ventricular contractions or supraventricular...
1.4K
01:23Mitral Regurgitation II: Clinical Features and Diagnostic Tests
947
Mitral regurgitation (MR) is a valvular heart disorder in which the mitral valve fails to close tightly, allowing blood to leak backward into the heart. Understanding the clinical manifestations, assessment, diagnostic findings, and medical management of MR is crucial to effectively managing affected patients.Clinical Manifestations of Mitral RegurgitationMitral regurgitation can be acute or chronic, each presenting differently and requiring different approaches:1. Acute Mitral...
947
01:20Mitral Regurgitation I: Introduction
1.3K
Mitral regurgitation is characterized by the backward circulation of blood from the left ventricle to the left atrium during systole, a phase of the cardiac cycle when the heart contracts and pumps blood out of the chambers. This abnormal flow occurs primarily due to the dysfunction of the mitral valve or its supporting structures, which include the mitral leaflets, chordae tendineae, annulus, and papillary muscles.Etiology and Mechanisms:Primary Mitral Regurgitation: This type arises from...
1.3K