Abstract

Aim: To present the heterotopic ossification of left-sided heart valves due to rheumatic inflammation and biomineralization. Introduction: Calcification in the region of mitral-aortic continuity is significant at its origin and etiopathogenesis. The etiology of valvular calcification may be divided into 3 groups, namely, inflammation, degeneration and metabolic disturbances. Calcification of cardiac valve leaflets is most often due to rheumatic etiology in tropical nations. Case Report: A 52-year-old male developed sudden onset of light-headedness and palpitations due to atrial fibrillation. Transthoracic 2D echocardiography revealed calcification of anterior mitral leaflet and aortic valve which resembles a bone-like structure and the patient was advised double valve replacement. Conclusion: It was known that the cellular mechanisms play an important role in its genesis and therapeutic strategies are targeted to reverse this process by understanding its biological mediators.

Highlights

  • A calcified valve is the hardening of valve due to the deposition of calcium salts at the site of wear-and-tear and damage

  • Rheumatic valve calcification is not a random passive process, but it is a regulated, inflammatory cellular process associated with the expression of osteoblast markers and neoangiogenesis

  • Once the osteoblast activity has been established, the disease progression is more likely to be regulated by the mediators of calcium homeostasis [11]

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Summary

Introduction

A calcified valve is the hardening of valve due to the deposition of calcium salts at the site of wear-and-tear and damage. Calcification is more likely to affect the valves on the left side of the heart (mitral and aortic valves) since they experience greater pressure, more wear-and-tear damage with increased risk of deposition of calcium phosphate salts, known as dystrophic calcification. This senile valve calcification occurs on the mitral valve at the age of 50 - 70 years and on the aortic valve at 70 - 90 years of age. The anterior mitral leaflet-aortic cusp continuity region was affected by this mineralization process and so this case had been reported

Case Report
Pathogenesis
Echocardiographic Features
Therapeutic Strategies
Gene Transfer
Investigational Therapy
Lonafarnib
Interventional Therapy
Transcatheter Valve Implantation
3.10. Surgical Therapy
3.11. Screening of Population
Conclusion
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