A Large Cardiac Mass: Diagnosis of Caseous Mitral Annular Calcification and Determining Optimum Management Strategy
A 64-year-old woman with dizziness and blurry vision underwent an evaluation for a possible stroke with a head-neck CT scan and a transthoracic echocardiogram. The head-neck CT scan was unremarkable, but the echocardiogram was notable for a 2.0×2.3 cm heterogeneous echodensity attached to the mitral...
Saved in:
| Main Authors: | , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2014-01-01
|
| Series: | Case Reports in Medicine |
| Online Access: | http://dx.doi.org/10.1155/2014/637374 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832562351726919680 |
|---|---|
| author | Emanuel A. Shapera Afshin Karimi Luis R. Castellanos |
| author_facet | Emanuel A. Shapera Afshin Karimi Luis R. Castellanos |
| author_sort | Emanuel A. Shapera |
| collection | DOAJ |
| description | A 64-year-old woman with dizziness and blurry vision underwent an evaluation for a possible stroke with a head-neck CT scan and a transthoracic echocardiogram. The head-neck CT scan was unremarkable, but the echocardiogram was notable for a 2.0×2.3 cm heterogeneous echodensity attached to the mitral valve. After a transesophageal echocardiogram and chest CT scan, the mass was determined to be a caseous mitral annular calcification, CMAC. This entity is a rare variant of MAC with an estimated prevalence of 0.068%. Echocardiographic techniques can distinguish CMAC from other intracardiac masses such as tumor, cyst, or abscess. CMAC is associated with cerebrovascular accidents; however, optimal treatment is controversial given the rarity of this clinical finding. Management strategies should be tailored based on the patient’s presentation, risk factors, and overall clinical circumstances. |
| format | Article |
| id | doaj-art-2ebe674332b44015bbdd094d1c2e0031 |
| institution | Kabale University |
| issn | 1687-9627 1687-9635 |
| language | English |
| publishDate | 2014-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Case Reports in Medicine |
| spelling | doaj-art-2ebe674332b44015bbdd094d1c2e00312025-02-03T01:22:50ZengWileyCase Reports in Medicine1687-96271687-96352014-01-01201410.1155/2014/637374637374A Large Cardiac Mass: Diagnosis of Caseous Mitral Annular Calcification and Determining Optimum Management StrategyEmanuel A. Shapera0Afshin Karimi1Luis R. Castellanos2UCSD School of Medicine, La Jolla, CA, USAUCSD School of Medicine, La Jolla, CA, USAUCSD School of Medicine, La Jolla, CA, USAA 64-year-old woman with dizziness and blurry vision underwent an evaluation for a possible stroke with a head-neck CT scan and a transthoracic echocardiogram. The head-neck CT scan was unremarkable, but the echocardiogram was notable for a 2.0×2.3 cm heterogeneous echodensity attached to the mitral valve. After a transesophageal echocardiogram and chest CT scan, the mass was determined to be a caseous mitral annular calcification, CMAC. This entity is a rare variant of MAC with an estimated prevalence of 0.068%. Echocardiographic techniques can distinguish CMAC from other intracardiac masses such as tumor, cyst, or abscess. CMAC is associated with cerebrovascular accidents; however, optimal treatment is controversial given the rarity of this clinical finding. Management strategies should be tailored based on the patient’s presentation, risk factors, and overall clinical circumstances.http://dx.doi.org/10.1155/2014/637374 |
| spellingShingle | Emanuel A. Shapera Afshin Karimi Luis R. Castellanos A Large Cardiac Mass: Diagnosis of Caseous Mitral Annular Calcification and Determining Optimum Management Strategy Case Reports in Medicine |
| title | A Large Cardiac Mass: Diagnosis of Caseous Mitral Annular Calcification and Determining Optimum Management Strategy |
| title_full | A Large Cardiac Mass: Diagnosis of Caseous Mitral Annular Calcification and Determining Optimum Management Strategy |
| title_fullStr | A Large Cardiac Mass: Diagnosis of Caseous Mitral Annular Calcification and Determining Optimum Management Strategy |
| title_full_unstemmed | A Large Cardiac Mass: Diagnosis of Caseous Mitral Annular Calcification and Determining Optimum Management Strategy |
| title_short | A Large Cardiac Mass: Diagnosis of Caseous Mitral Annular Calcification and Determining Optimum Management Strategy |
| title_sort | large cardiac mass diagnosis of caseous mitral annular calcification and determining optimum management strategy |
| url | http://dx.doi.org/10.1155/2014/637374 |
| work_keys_str_mv | AT emanuelashapera alargecardiacmassdiagnosisofcaseousmitralannularcalcificationanddeterminingoptimummanagementstrategy AT afshinkarimi alargecardiacmassdiagnosisofcaseousmitralannularcalcificationanddeterminingoptimummanagementstrategy AT luisrcastellanos alargecardiacmassdiagnosisofcaseousmitralannularcalcificationanddeterminingoptimummanagementstrategy AT emanuelashapera largecardiacmassdiagnosisofcaseousmitralannularcalcificationanddeterminingoptimummanagementstrategy AT afshinkarimi largecardiacmassdiagnosisofcaseousmitralannularcalcificationanddeterminingoptimummanagementstrategy AT luisrcastellanos largecardiacmassdiagnosisofcaseousmitralannularcalcificationanddeterminingoptimummanagementstrategy |