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1.
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.


Subject(s)
Humans , Cardiac Surgical Procedures , Mitral Valve Insufficiency/surgery , Calcinosis , Mitral Valve
2.
Braz J Cardiovasc Surg ; 35(1): 120-122, 2020 02 01.
Article in English | MEDLINE | ID: mdl-31364345

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.


Subject(s)
Cardiac Surgical Procedures , Mitral Valve Insufficiency , Calcinosis , Humans , Mitral Valve , Mitral Valve Insufficiency/surgery
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