ArticleEuropean heart journal. Imaging methods and practice2025
Mitral annular calcification score by computed tomography in patients undergoing mitral valve surgery.
Article in European heart journal. Imaging methods and practice, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.
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Who cites it
4 citing papers in PubMed.
- Association of left ventricular global longitudinal strain with outcomes of severe mitral regurgitation due to severe mitral annular calcification: a retrospective cohort study.Cardiovascular diagnosis and therapy · 2026Article
- Mitral Stenosis in the Multimodality Imaging Era: Pitfalls, Stress Echocardiography, and Integrated Therapeutic Assessment.Diagnostics (Basel, Switzerland) · 2026Review
- Beyond Cholesterol: Is High-Density Lipoprotein a New Prognostic Factor in Rheumatic Heart Disease?JACC. Asia · 2026Article
- Clinical and echocardiographic outcomes of patients with mitral annular calcification undergoing mitral valve surgery: a 10-year single center experience.Annals of cardiothoracic surgery · 2025Article
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8 authors.
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Abstract
Aims: Mitral annular calcification (MAC) increases the difficulty of mitral valve (MV) surgery and is associated with mortality. However, there is no standardized classification of MAC severity. A multi-parametric MAC score has been proposed using computed tomography. We evaluated the prognostic effect of MAC severity classification using the MAC score. Methods and results: We included 331 patients with MAC who underwent MV surgery from 2011 through 2019. We calculated the MAC score based on five main components (range: 2-12): MAC Agatston calcium score, MAC angle, extension to left ventricular outflow tract, the involvement of trigones, and myocardial infiltration. According to the proposed MAC score, we classified the top tertile into the severe MAC group (scores: 9-12, Conclusion: In patients undergoing MV surgery, systematic classification of MAC severity by MAC score helps predict prognosis.
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