Cardiac calcification usually occurs in
patients with
end-stage renal disease. However, rapid progression of cardiac calcification is rarely associated with
secondary hyperparathyroidism of
end-stage renal disease. We
report a
patient with
end-stage renal disease who showed moderate
left ventricular hypertrophy at the first
echocardiography, and showed severe myocardial calcification and severe
mitral valve stenosis 4 years later. We suspected a rapid progression '
porcelain heart'
cardiomyopathy secondary to
hyperparathyroidism of
end-stage renal disease. The
patient underwent
parathyroidectomy, and considered
mitral valve replacement.