Chameleonic appearance of caseous calcification of the mitral valve – still a problem for its appropriate management

Abstract

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Answer to Quiz: Echo Imaging on Page 79 and Case Discussion

“…A rare variant of this pathological entity is caseous calcinosis of MVA presenting on echocardiographic imaging as a round or ovoid focal hyperechoic mass (2). It contains toothpastelike caseous material with mixture of calcium salts, fatty acids and cholesterol (3). The liquefaction of MVA calcification is an uncommon finding happening in approximately 0.6% of patients (4).…”