The International Journal of Cardiovascular Imaging

, Volume 22, Issue 3, pp 553–559

Caseous calcification of the mitral annulus imaged with 64-slice multidetector CT and magnetic resonance imaging


    • Department of RadiologyAZ Groeninge
  • André J. Duerinckx
    • Forsyth Radiological Associates
  • David A. Duncan
    • Cardiac and Thoracic SurgeryForsyth Medical Center
  • Wilson G. Russell
    • Department of PathologyForsyth Medical Center
Case Report

DOI: 10.1007/s10554-005-9069-0

Cite this article as:
Vanovermeire, O.M., Duerinckx, A.J., Duncan, D.A. et al. Int J Cardiovasc Imaging (2006) 22: 553. doi:10.1007/s10554-005-9069-0


Caseous calcification of the mitral annulus is a rare entity in cardiac imaging. We present CT and magnetic resonance imaging (MRI) in a patient evaluated for severe mitral valve regurgitation with such calcified cardiac mass in the thickened basal wall of the left ventricle. Despite good visualization of the mass both with 64-slice multidetector CT and MRI, the characterization of the lesion was difficult. The most critical finding was the presence of a hyperdense mass with an even denser peripheral rim on pre-contrast CT images. The mass did not enhance after X-ray contrast agent administration. We discuss the preoperative differential for calcified intramyocardial mass.

Key words:

caseous calcificationcomputed tomographymagnetic resonancemyocardial calcificationmyocardial massmyocardium

Copyright information

© Springer Science+Business Media, Inc. 2006