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Updated: Oct 25, 2025

Identifying Coronary Artery Calcification on Non-gated Computed Tomography Scans
Published on: August 28, 2018
From the clinical spectrum of myocardial calcification to a cardiovascular imaging perspective
Layal Mansour1,2, Christophe Ancedy1,3, Yahia Bellouche1,3
1Department of Cardiology, Brest University Hospital, 29609, Brest, France.
Insights
A rare case of isolated myocardial calcification presenting as an interventricular septum mass was identified in an elderly man experiencing transient ischemic attacks and falls. This unusual finding may explain his symptoms.
Area of Science:
- Cardiology
- Cardiovascular Imaging
- Pathology
Background:
- Recurrent transient ischemic attacks (TIAs) and falls in elderly patients warrant thorough investigation.
- Interventricular septum masses can present with diverse clinical manifestations.
Observation:
- A 74-year-old male presented with recurrent TIAs and falls.
- An unusual large mass was detected in the interventricular septum.
Findings:
- Multimodality cardiovascular imaging confirmed isolated myocardial calcification.
- The mass was identified as the cause of the patient's symptoms.
Implications:
- Isolated myocardial calcification is a rare cause of cardiac masses.
- This case highlights the importance of considering rare pathologies in the differential diagnosis of TIAs and falls.
- Cardiovascular imaging plays a crucial role in diagnosing such conditions.
Abstract:
We herein report the case of a 74-year-old man with recurrent transient ischemic attacks and falls who was found to have an unusual large mass of the interventricular septum. After extensive workup, isolated myocardial calcification was confirmed using multimodality cardiovascular imaging. This rare finding might be a reflecting cause of the patient's clinical presentation.
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