Abstract
Caseous calcification is a rare variant of mitral annular calcification, occurring in about 0.06% of echocardiographic studies performed. It is usually a benign lesion, but it should be differentiated by abscess and tumors. Echocardiography is the most sensitive method to identify caseous calcification which appears typically as a round, calcified mass with an echo-lucent, liquid-like inner part.
Highlights
Unlike mitral annular calcification (MAC), that is a common echocardiographic finding, caseous calcification is a rare variant, occurring in about 0.6% of patient with annular calcification [1,2,3]
Caseous calcification is a rare variant of mitral annular calcification, occurring in about 0.06% of echocardiographic studies performed
An 82-year-old woman, with history of hypertension, was admitted to our department for paroxystic atrial fibrillation, which was successfully treated with intravenous Amiodarone
Summary
Unlike mitral annular calcification (MAC), that is a common echocardiographic finding, caseous calcification is a rare variant, occurring in about 0.6% of patient with annular calcification [1,2,3]. Caseous calcification appears as an echo-dense, round, smooth mass with a liquid core, surrounded by a calcified envelop, as a rule it is localized into the posterior mitral annulus [1,2,3,6]. Further exams, such as transesophageal echocardiography, computed tomography and magnetic resonance, are seldom necessary to differentiate caseous calcification from tumour or abscess [3]. As a rule conservative management is indicated in most of the cases [1,2,3]
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