Approach to an unusual cardiac mass: mitral annulus caseoma
Rev. bras. cir. cardiovasc
;
35(1): 120-122, Jan.-Feb. 2020. tab, graf
Article
in English
| LILACS
| ID: biblio-1092477
ABSTRACT
Abstract Caseous calcification of the mitral annulus (CCMA) is known to be a rare variant of mitral annulus calcification, a chronic and degenerative process of the mitral valve fibrous ring. It usually carries a benign prognosis. The following case demonstrates a huge mitral annulus caseoma that complicated with severe mitral regurgitation and was treated with a successful surgery. The common consensus on the optimal management of CCMA is conservative medical management and avoiding unnecessary surgery. Therewithal, the current indications for surgical intervention include mitral valve dysfunction, strokes and uncertain diagnosis. Aggressive debridement, risk of left ventricular perforation and exposure of caseous debris to the systemic blood flow may increase the risk of a standard mitral valve surgery. Mitral valve replacement should be preferred compared with mitral valve repair.
Full text:
Available
Index:
LILACS (Americas)
Main subject:
Cardiac Surgical Procedures
/
Mitral Valve Insufficiency
Type of study:
Prognostic study
Limits:
Humans
Language:
English
Journal:
Rev. bras. cir. cardiovasc
Journal subject:
Cardiology
/
General Surgery
Year:
2020
Type:
Article
Affiliation country:
Turkey
Institution/Affiliation country:
Adiyaman Universitesi/TR
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