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Swinging cardiac calcified amorphous tumour arising from a calcified mitral annulus in a patient with normal renal

Quentin de Hemptinne1, Jean-Paul Bar2, Didier de Cannière3

  • 1Department of Cardiology, CHU Saint-Pierre-Université Libre de Bruxelles, Brussels, Belgium.

BMJ Case Reports
|January 9, 2015
PubMed

Insights

A rare calcified amorphous tumor was surgically removed from a patient's heart after cardioembolic events. The patient recovered well, with no recurrence after 12 months.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Pathology

Background:

  • Intracardiac masses can lead to serious complications such as cardioembolic events.
  • Prompt diagnosis and management are crucial for patients presenting with embolic phenomena.

Observation:

  • A 67-year-old male presented with two cardioembolic events.
  • Imaging revealed a mobile intracardiac mass on the ventricular side of a calcified mitral annulus, not previously seen.

Findings:

  • Surgical resection of the intracardiac mass was performed.
  • Microscopic examination confirmed the mass as a calcified amorphous tumor.
  • The patient experienced an unremarkable postoperative recovery.

Implications:

  • Surgical excision is an effective treatment for calcified amorphous tumors of the heart.
  • Complete resection leads to favorable long-term outcomes, preventing recurrence and neurological events.
  • This case highlights the importance of thorough cardiac evaluation in patients with unexplained embolic events.

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