Case Report
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World J Clin Cases. May 16, 2014; 2(5): 142-145
Published online May 16, 2014. doi: 10.12998/wjcc.v2.i5.142
Atrium of stone: A case of confined left atrial calcification without hemodynamic compromise
Christopher Jones, Aadil Mubeen Lodhi, Long Bao Cao, Arjun Kumar Chagarlamudi, Assad Movahed
Christopher Jones, Aadil Mubeen Lodhi, Long Bao Cao, Arjun Kumar Chagarlamudi, Assad Movahed, Department of Cardiovascular Sciences, East Carolina Heart Institute, Brody School of Medicine, East Carolina University, Greenville, NC 27858, United States
Author contributions: Jones C, Lodhi AM, Cao LB, Chagarlamudi AK and Movahed A contributed to the manuscript writing and revision.
Supported by The “East Carolina Heart Institute”
Correspondence to: Assad Movahed, MD, Department of Cardiovascular Sciences, East Carolina Heart Institute, Brody School of Medicine, East Carolina University, 115 Heart Drive, Mail Stop 651, Greenville, NC 27858, United States. movaheda@ecu.edu
Telephone: +1-832-3731447 Fax: +1-252-7447724
Received: October 23, 2013
Revised: March 4, 2014
Accepted: April 25, 2014
Published online: May 16, 2014
Processing time: 204 Days and 14.1 Hours
Abstract

Dystrophic cardiac calcification is often associated with conditions causing systemic inflammation and when present, is usually extensive, often encompassing multiple cardiac chambers and valves. We present an unusual case of dystrophic left atrial calcification in the setting of end stage renal disease on hemodialysis diagnosed by echocardiography and computed tomography. Significant calcium deposition is confined within the walls of the left atrium with no involvement of the mitral valve, and no hemodynamic effects.

Keywords: Left atrium calcification; Heart of stone; Atrial calcification; Dystrophic cardiac calcification; Renal failure

Core tip: Dystrophic cardiac calcification can often lead to complicated valvular stenosis, cardiac arrhythmias, cardiac block and abnormal cardiac hemodynamics by effecting systolic and diastolic cardiac function, thus awareness, early detection and treatment of the underlying cause, and resulting complications is key to patient outcome.