Massive Myocardial Calcification.

Area of Science:

• Cardiology
• Cardiac Imaging
• Pathology

Background:

• Massive myocardial calcification is an exceptionally rare cardiac condition.
• Diverse etiologies contribute to this pathology.
• Multimodality imaging is crucial for diagnosis.

Observation:

• A 73-year-old woman with coronary artery disease and ovarian carcinoma presented with dizziness and dyspnea.
• Echocardiography revealed extensive myocardial calcification, left ventricular hypertrophy, and a large mobile structure on the mitral leaflet.
• Post-surgery, the patient developed pulmonary hypertension, increased calcification, and right ventricular dysfunction.

Findings:

• Histological examination revealed fibrosis and scarring.
• The etiology of the extensive myocardial calcification remained unclear.
• Hypertrophic cardiomyopathy was considered a potential underlying condition.

Implications:

• This case underscores the importance of multimodality imaging in diagnosing rare cardiac conditions.
• A comprehensive diagnostic workup is vital for effective management.
• This case adds to the limited literature on massive myocardial calcification and its management challenges.