ArticleInterdisciplinary cardiovascular and thoracic surgery2025
Surgical management for caseous calcification of mitral annulus associated with coronary artery disease.
Article in Interdisciplinary cardiovascular and thoracic surgery, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.
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Who cites it
3 citing papers in PubMed.
- Posterior neo-annular reconstruction: An alternative approach to mitral valve replacement for caseous mitral annular calcification.JTCVS techniques · 2026Article
- Surgical experience with caseous calcification of the mitral annulus: a case report.Journal of surgical case reports · 2026Article
- The technical evolution and persistent challenges in the surgical management of mitral annular calcification.Journal of thoracic disease · 2026Article
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Authors and funding
3 authors.
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Abstract
Mitral annular calcification (MAC) is a common finding, especially among the elderly or patients undergoing haemodialysis. Caseous calcification of the mitral annulus (CCMA) is a rare MAC variant with liquefied material at the calcified annulus. Surgical management of CCMA often involves wide excision and debridement, increasing the risk of perioperative stroke. We report a patient undergoing haemodialysis who developed an enlarged MAC, moderate mitral insufficiency and multivessel coronary artery disease. This case highlights the characteristic imaging features of CCMA. We performed a limited incision for complete drainage, followed by suture obliteration of the cavity and mitral valve repair, in conjunction with coronary artery bypass grafting. This technique was safe, preserved mitral valve function and was not associated with perioperative stroke. We herein report this approach reduces the risk of stroke while maintaining mitral valve function, offering a safer alternative to extensive excision.
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