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©2012 Baishideng Publishing Group Co., Limited. All rights reserved.
Severe mitral annular calcification in rheumatic heart disease: A rare presentation
Rajesh Vijayvergiya, Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Kim Vaiphei, Department of Histopathology, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Sandeep S Rana, Department of Cardio-thoracic Surgery, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India
Author contributions: All the authors were actively involved in management of the index case.
Correspondence to: Dr. Rajesh Vijayvergiya, MD, DM, FSCAI, FISES, Associate Professor, Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India. rajeshvijay999@hotmail.com
Telephone: +91-172-2756512 Fax: +91-172-2744401
Received: November 22, 2011
Revised: December 10, 2011
Accepted: December 17, 2011
Published online: March 26, 2012
Revised: December 10, 2011
Accepted: December 17, 2011
Published online: March 26, 2012
Abstract
Severe mitral annular calcification (MAC) is frequently seen in patients with advanced age and chronic kidney disease, but it is rare in rheumatic heart disease (RHD). We hereby report a case of 45-year-old female with chronic RHD, who had severe MAC and mitral regurgitation. Fluoroscopy revealed a “crown”-like severe calcification of the mitral annulus. Autopsy of the heart revealed a calcified posterior mitral annulus, fused commissures, and calcified nodules at the atrial aspect of the mitral valve.
Keywords: Mitral annular calcification; Rheumatic heart disease; Mitral regurgitation; Autopsy; Aschoff nodule