title: Anterior mitral annulus caseoma: as benign as posterior counterparts?
abstract: Mitral annular caseoma is a common incidental finding involving the posterior annulus. It has an innocent nature, with the exception of its endocarditic degeneration and/or a stenotic functional effect when exophytic. We report an exceptionally rare isolated anterior mitral annular caseoma involving also the anterior mitral leaflet and affecting its physiologic systolic movement, thus resulting in a restricting anterior leaflet motion responsible for mitral insufficiency. The case was successfully treated by complex mitral valve repair.
authors.affiliation: Division of Cardiac Surgery, University of Verona, Italy.
authors.forename: Alessandro
authors.initials: A
authors.lastname: Mazzucco
authors.affiliation: Division of Cardiac Surgery, University of Verona, Italy.
authors.forename: Riccardo
authors.initials: R
authors.lastname: Abbasciano
authors.affiliation: Division of Cardiac Surgery, University of Verona, Italy. Electronic address: francesco.onorati@ospedaleuniverona.it.
authors.forename: Francesco
authors.initials: F
authors.lastname: Onorati
authors.affiliation: Postoperative Intensive Care Unit, University of Verona, Italy.
authors.forename: Gabriele
authors.initials: G
authors.lastname: Brognoli
authors.affiliation: Division of Cardiac Surgery, University of Verona, Italy.
authors.forename: Diego
authors.initials: D
authors.lastname: Fanti
authors.affiliation: Postoperative Intensive Care Unit, University of Verona, Italy.
authors.forename: Leonardo
authors.initials: L
authors.lastname: Gottin
authors.affiliation: Division of Cardiac Surgery, University of Verona, Italy.
authors.forename: Giuseppe
authors.initials: G
authors.lastname: Faggian
mesh_terms: D000368:Aged; D002114:Calcinosis / Q000150:complications / Q000473:pathology* / Q000601:surgery; D006348:Cardiac Surgical Procedures; D004452:Echocardiography; D017548:Echocardiography, Transesophageal; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000473:pathology* / Q000601:surgery; D008944:Mitral Valve Insufficiency / Q000209:etiology / Q000473:pathology* / Q000601:surgery
keywords: Caseoma; Caseous calcification; Echocardiography; Mitral valve; Mitral valve repair