Abstract
A 78 year-old lady presented with a prolonged history of increasing exertional dyspnoea associated with lethargy. She had no history of rheumatic fever or infective endocarditis and had been followed up with serial echocardiography over several years with known mitral regurgitation. A chest radiograph demonstrated a C-shaped calcific outline of the mitral annulus with the open part lying adjacent to the left ventricular outflow tract (Fig. 13.1a). Coronary angiography demonstrated no flow limiting coronary artery lesions but marked calcification of the mitral annulus could clearly be visualised during fluoroscopy (Fig. 13.1b).
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Recommended Reading
Atoui R, Lash V, Mohammadi S, Cecere R. Intra-atrial implantation of a mitral valve prosthesis in a heavily calcified mitral annulus. Eur J Cardiothorac Surg. 2009;36:776–8.
Carpentier AF, Pellerin M, Fuzellier JF, Relland JY. Extensive calcification of the mitral valve: pathology and surgical management. J Thorac Cardiovasc Surg. 1996;111:718–30.
d’Alessandro C, Vistarini N, Aubert S, Jault F, Acar C, Pavie A, Gandjbakhch I. Mitral annulus calcification: determinants of repair feasibility, early and late surgical outcome. Eur J Cardio Thorac Surg. 2007;32:596–603.
David TE, Feindel CM, Armstrong S, Sun Z. Reconstruction of the mitral annulus: a ten years experience. J Thorac Cardiovasc Surg. 1995;110:1323–32.
Feindel CM, Tufail Z, David TE, Ivanov J, Armstrong S. Mitral valve surgery in patients with extensive calcification of the mitral annulus. J Thorac Cardiovasc Surg. 2003;126:777–81.
Stefano SD, Lopez J, Florez S, Rey J, Arevalo A, San Román A. Building a new annulus: a technique for mitral valve replacement in heavily calcified annulus. Ann Thorac Surg. 2009;87:1625–7.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 2018 Springer-Verlag London Ltd., part of Springer Nature
About this chapter
Cite this chapter
Moorjani, N., Rana, B.S., Wells, F.C. (2018). Extensive Mitral Annular Calcification. In: Operative Mitral and Tricuspid Valve Surgery. Springer, London. https://doi.org/10.1007/978-1-4471-4204-1_13
Download citation
DOI: https://doi.org/10.1007/978-1-4471-4204-1_13
Published:
Publisher Name: Springer, London
Print ISBN: 978-1-4471-4203-4
Online ISBN: 978-1-4471-4204-1
eBook Packages: MedicineMedicine (R0)