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Massive mitral annular calcification mimicking intracardiac mass: Multimodality approach to diagnosis

Fabio Caruso1, Luisa Ventura1, Dafne Viliani2

  • 1Radiololgy Department, Santa Maria Del Carmine Hospital, Viale Verona 4, 38068 Rovereto (TN), Italy.

Radiology Case Reports
|June 16, 2018
PubMed

Insights

Diagnosing cardiac masses can be difficult. Multimodality imaging confirmed a challenging cardiac mass was actually mitral annulus calcifications in a 78-year-old man.

Area of Science:

  • Cardiology
  • Medical Imaging

Background:

  • Cardiac masses require accurate differential diagnosis due to significant clinical implications.
  • Echocardiography is a primary tool for cardiac mass detection, but etiology can remain unclear.

Observation:

  • A 78-year-old male presented with a cardiac mass of uncertain origin detected via echocardiography.
  • The mass appeared voluminous and its nature was initially indeterminate.

Findings:

  • A multimodality imaging approach, including cardiac magnetic resonance and computed tomography, was employed.
  • These advanced imaging techniques successfully elucidated the mass's composition.

Implications:

  • The cardiac mass was definitively identified as two large calcifications of the mitral annulus.
  • This case highlights the utility of advanced imaging in resolving complex cardiac mass diagnoses.

Keywords:
Cardiac magnetic resonanceCardiac massComputed tomographyMitral annular calcification

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