Anterior mitral annulus caseoma: as benign as posterior counterparts?

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• 作者：Alessandro Mazzucco^a ; Riccardo Abbasciano^a ; Francesco Onorati^a ; ^{francesco.onorati@ospedaleuniverona.it" class="auth_mail" title="E-mail the corresponding author} ; Gabriele Brognoli^b ; Diego Fanti^a ; Leonardo Gottin^b ; Giuseppe Faggian^a
• 关键词：Mitral valve ; Mitral valve repair ; Echocardiography ; Caseoma ; Caseous calcification
• 刊名：Cardiovascular Pathology
• 出版年：2016
• 出版时间：July-August 2016
• 年：2016
• 卷：25
• 期：4
• 页码：336-338
• 全文大小：459 K

文摘

Mitral annular caseoma is a common incidental finding involving the posterior annulus. It has an innocent nature, with the exception of its endocarditic degeneration and/or a stenotic functional effect when exophytic. We report an exceptionally rare isolated anterior mitral annular caseoma involving also the anterior mitral leaflet and affecting its physiologic systolic movement, thus resulting in a restricting anterior leaflet motion responsible for mitral insufficiency. The case was successfully treated by complex mitral valve repair.