title: Severe mitral annular calcification in rheumatic heart disease: A rare presentation.
abstract: Severe mitral annular calcification (MAC) is frequently seen in patients with advanced age and chronic kidney disease, but it is rare in rheumatic heart disease (RHD). We hereby report a case of 45-year-old female with chronic RHD, who had severe MAC and mitral regurgitation. Fluoroscopy revealed a "crown"-like severe calcification of the mitral annulus. Autopsy of the heart revealed a calcified posterior mitral annulus, fused commissures, and calcified nodules at the atrial aspect of the mitral valve.
authors.affiliation: Rajesh Vijayvergiya, Department of Cardiology, Post Graduate Institute of Medical Education and Research, Chandigarh 160 012, India.
authors.forename: Rajesh
authors.initials: R
authors.lastname: Vijayvergiya
authors.forename: Kim
authors.initials: K
authors.lastname: Vaiphei
authors.forename: Sandeep S
authors.initials: SS
authors.lastname: Rana