ArticleEuropean heart journal. Case reports2022
Considerations in caseous calcification of the mitral annulus: a case report.
Article in European heart journal. Case reports, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.
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Who cites it
5 citing papers in PubMed, 4 citations in OpenAlex.
- Mobile caseous mitral annular calcification as a cause of recurrent cardioembolic stroke: a case report.European heart journal. Case reports · 2026Article
- Caseous Calcification of the Mitral Annulus With Aortic Root Fistula and Pseudoaneurysm: Multimodality Imaging-Guided Repair.JACC. Case reports · 2026Article
- False-Positive PET Uptake in Left Atrial Appendage Closure Devices Due to Postoperative Inflammatory Response.Diagnostics (Basel, Switzerland) · 2026Article
- Echocardiographic characteristics of paravalvular leak following surgical aortic valve replacement: a retrospective cohort study.Journal of thoracic disease · 2025Article
- Caseous Calcification of the Mitral Annulus: Calcified Toothpaste of the Heart.The American journal of forensic medicine and pathology · 2025Article
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Authors and funding
3 authors at 1 institution in 1 country.
Funding
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Abstract
Background: Caseous calcification of the mitral annulus is an extremely rare variant of mitral annulus calcification occurring in <1% of cases. The degeneration of caseous masses could act as a source of embolic strokes and a nidus for infective endocarditis (IE). Case summary: A man in his sixties presented with transient left arm weakness. His history was pertinent for bioprosthetic aortic valve replacement secondary to endocarditis and recent pneumococcal pneumonia complicated by empyema and bacteraemia. He was still on intravenous antibiotics when he presented. Evaluation including magnetic resonance imaging of the brain, transoesophageal echocardiography, and computed tomography (CT) of the chest revealed multifocal embolic strokes, degenerative bioprosthetic aortic valve dysfunction, mitral annular calcification with mobile calcific masses, and persistent empyema. Discussion: Caseous calcification of the mitral annulus is a rare but an increasingly recognized predisposing factor for embolic strokes and IE. Treatment ideally involves surgical resection of the calcified masses in such cases.
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