Caseous mitral annular calcification

Case contributed by Dr Ayaz Hidayatov


An elderly female with the known history of chronic coronary artery disease and arterial hypertension presented with shortness of breath.

Patient Data

Age: 60-65 years
Gender: Female

CT demonstrates large tumefactive homogenous calcification measured 28 x 22 x 20 mm in the posterior aspect of the mitral valve annulus.

Findings most keeping with caseous mitral annular calcification.

There is also cardiomegaly and atherosclerotic calcifications along the thoracic aorta and coronary arteries. 

Case Discussion

Mitral annulus calcification is one of the most common cardiac calcification.

Caseous calcification of the mitral valve annulus is a rare variant of mitral annular calcification with a characteristic imaging appearance. 

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Case information

rID: 61219
Published: 23rd Jun 2018
Last edited: 14th Aug 2019
System: Cardiac
Inclusion in quiz mode: Included
Institution: Medistyle hospital

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