Academic Journal
A Report of Two Cases with Caseous Annular Calcification of the Mitral Valve.
العنوان: | A Report of Two Cases with Caseous Annular Calcification of the Mitral Valve. |
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المؤلفون: | Ermal Likaj, Selman Dumani, Alessia Mehmeti, Laureta Dibra, Ervin Bejko, Edlira Rruci, Altin Veshti |
المصدر: | Albanian Journal of Trauma and Emergency Surgery, Vol 8, Iss 1 (2024) |
بيانات النشر: | Albanian Society for Trauma and Emergency Surgery, 2024. |
سنة النشر: | 2024 |
المجموعة: | LCC:Surgery LCC:Medical emergencies. Critical care. Intensive care. First aid |
مصطلحات موضوعية: | Caseous calcification, mitral annulus, surgical management, Surgery, RD1-811, Medical emergencies. Critical care. Intensive care. First aid, RC86-88.9 |
الوصف: | Introduction: Caseous calcification of the mitral annulus (CCMA) is a rare variant of mitral annulus calcification, a chronic and degenerative mitral valve fibrous ring process. It usually carries a benign prognosis. The prevalence of CCMA is about 0.06%-0.07% of the population. CCMA is generally diagnosed incidentally and can be confused with other intracardiac masses such as cardiac tumors, abscesses, vegetation, or calcified thrombi. Multimodality imaging, including TEE, cardiac computed tomography, and cardiac magnetic nuclear resonance, can easily differentiate CCMA from other masses and help avoid unnecessary surgery. CCMA is typically located in the basal area of the posterior mitral valve, and the calcification seems like a round, large, soft mass with a central echo-dense location. CCMA may have a benign course, but it may sometimes be complicated with mitral valvular dysfunction, systemic embolization, or conduction abnormalities in the scenarios mentioned above, as well as when the diagnosis is unclear, surgery is indicated. Mitral valve replacement should be preferred compared to mitral valve repair. Conclusions: It is important to note that the decision for mitral valve replacement, including CAC cases, should be individualized based on various factors, including the patient's clinical condition, symptoms, severity of valve disease, and associated comorbidities. As scientific understanding and research progress, there may be ongoing developments and refinements in the conservative and surgical management of CCMA. |
نوع الوثيقة: | article |
وصف الملف: | electronic resource |
اللغة: | English |
تدمد: | 2521-8778 2616-4922 |
Relation: | http://journal.astes.org.al/index.php/AJTES/article/view/372; https://doaj.org/toc/2521-8778; https://doaj.org/toc/2616-4922 |
DOI: | 10.32391/ajtes.v8i1.372 |
URL الوصول: | https://doaj.org/article/e25131c78d054478af6b8e3df4505803 |
رقم الانضمام: | edsdoj.25131c78d054478af6b8e3df4505803 |
قاعدة البيانات: | Directory of Open Access Journals |
تدمد: | 25218778 26164922 |
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DOI: | 10.32391/ajtes.v8i1.372 |