title: Caseous calcification and liquefaction of the mitral annulus: a diagnostic confounder.
abstract: Caseous calcification of the mitral annulus is a rare form of periannular calcification that has a distinct appearance. It generally appears as a large spheric mass like calcification with a central echolucent area that may lead to diagnostic errors. Cardiac imagers should be familiar with this rare form of periannular calcification. We report the case of a 62-year-old woman in whom a suspicious spheric mass like calcification was detected with multislice computed tomography which was performed for coronary artery calcium scoring. Echocardiography displayed the typical findings of caseous calcification of the mitral annulus with central liquefaction.
authors.affiliation: Department of Cardiology, Dumlupinar University, Kutahya, Turkey.
authors.forename: Cemil
authors.initials: C
authors.lastname: Izgi
authors.forename: Cihan
authors.initials: C
authors.lastname: Cevik
authors.forename: Fehime
authors.initials: F
authors.lastname: Basbayraktar
mesh_terms: D002114:Calcinosis / Q000000981:diagnostic imaging*; D003937:Diagnosis, Differential; D015150:Echocardiography, Doppler; D005260:Female; D006349:Heart Valve Diseases / Q000000981:diagnostic imaging*; D006801:Humans; D008875:Middle Aged; D008943:Mitral Valve / Q000000981:diagnostic imaging*; D009336:Necrosis; D014057:Tomography, X-Ray Computed