Bone formation in cardiac valves: a histopathological study of 128 cases.
In a series of 1,177 patients with surgical valve resection, there were 128 (10.9%) patients with the histological finding of bone and/or cartilage formation (bony metaplasia; heterotopic ossification) in the excised valve (119 aortic, 9 mitral). The incidence was higher in men (12.8%) than in women (8.5%). The bony metaplasia was always associated with valvular calcification. The metaplastic changes were encountered in all types of calcific aortic valve disease (senile, bicuspid valve, post-rheumatic). The marrow of the heterotopic lamellar bone was mostly composed of adipose tissue. Frequently, it showed chronic inflammation with polyclonal plasmocytic infiltration. Complete haematopoiesis was present only rarely.
Steiner
Ivo
I
The Fingerland Department of Pathology, Charles University Faculty of Medicine and Faculty Hospital, 500 05 Hradec Králové, Czech Republic. steiner@lfhk.cuni.cz
Kasparová
Petra
P
Kohout
Ales
A
Dominik
Jan
J
D000273:Adipose Tissue / Q000473:pathology; D000368:Aged; D001021:Aortic Valve / Q000473:pathology; D001853:Bone Marrow / Q000473:pathology; D001842:Bone and Bones / Q000473:pathology*; D002114:Calcinosis / Q000473:pathology; D005260:Female; D006349:Heart Valve Diseases / Q000453:epidemiology / Q000473:pathology*; D006351:Heart Valves / Q000473:pathology; D006801:Humans; D015994:Incidence; D008297:Male; D008679:Metaplasia; D008875:Middle Aged; D008943:Mitral Valve / Q000473:pathology; D009999:Ossification, Heterotopic / Q000453:epidemiology / Q000473:pathology*; D010950:Plasma Cells / Q000473:pathology; D017678:Sex Distribution