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

  • Olivier M. Vanovermeire
  • André J. Duerinckx
  • David A. Duncan
  • Wilson G. Russell
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 calcification computed tomography magnetic resonance myocardial calcification myocardial mass myocardium 

Copyright information

© Springer Science+Business Media, Inc. 2006

Authors and Affiliations

  • Olivier M. Vanovermeire
    • 1
  • André J. Duerinckx
    • 2
  • David A. Duncan
    • 3
  • Wilson G. Russell
    • 4
  1. 1.Department of RadiologyAZ GroeningeKortrijkBelgium
  2. 2.Forsyth Radiological AssociatesWinston-SalemUSA
  3. 3.Cardiac and Thoracic SurgeryForsyth Medical CenterWinston-SalemUSA
  4. 4.Department of PathologyForsyth Medical CenterWinston-SalemUSA
  5. 5.Forsyth Radiological Associates, Maplewood Imaging CenterWinston-SalemUSA

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