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Anterior mitral annulus caseoma: as benign as posterior counterparts?

Alessandro Mazzucco1, Riccardo Abbasciano1, Francesco Onorati1

  • 1Division of Cardiac Surgery, University of Verona, Italy.

Cardiovascular Pathology : the Official Journal of the Society for Cardiovascular Pathology
|November 3, 2015
PubMed

Insights

An exceptionally rare anterior mitral annular caseoma was found, impacting the mitral leaflet and causing mitral insufficiency. This case was successfully treated with complex mitral valve repair.

Area of Science:

  • Cardiology
  • Cardiac Surgery
  • Pathology

Background:

  • Mitral annular caseoma typically affects the posterior annulus and is usually benign.
  • Exophytic caseomas can cause endocarditic degeneration or stenosis.

Observation:

  • A rare case of isolated anterior mitral annular caseoma is presented.
  • This case involved the anterior mitral leaflet, restricting its systolic motion.

Findings:

  • The anterior mitral annular caseoma led to significant mitral insufficiency.
  • The patient underwent successful complex mitral valve repair.

Implications:

  • This case highlights the potential for anterior mitral annular caseomas to cause significant mitral valve dysfunction.
  • Complex mitral valve repair can be an effective treatment for this rare condition.
Keywords:
CaseomaCaseous calcificationEchocardiographyMitral valveMitral valve repair

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