Infective endocarditis and caseous calcification of the mitral annulus: The odd couple

Capín, Esmeralda; León, Diego; Rodríguez, María Luisa; Corros, Cecília; García-Campos, Ana; Hera, Jesús de la; Martı́n, Marı́a

doi:10.1016/j.acmx.2013.12.003

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2018

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“…There is only one other reported case of IE with CCMA in which vegetation and CCMA were simultaneously confirmed by transesophageal echocardiography on admission ( 13 ). Thus, to our knowledge, this is the first report in which IE developed in a patient who was previously diagnosed with CCMA.…”

Section: Discussionmentioning

confidence: 99%

Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report

et al. 2018

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A 72-year-old man with end-stage renal disease and who was on dialysis was admitted with fever and chills. Two years previously, he had been diagnosed with caseous calcification of the mitral annulus (CCMA). Blood cultures revealed Staphylococcus aureus, and echocardiography revealed vegetation attached to the CCMA lesion, progressing to both the anterior and posterior annulus. Infective endocarditis (IE) was diagnosed and antibiotic (ampicillin) treatment was initiated. Emergent mitral valve replacement was performed after the occurrence of multiple cerebral infarctions. During surgery, we identified vegetation attached to the CCMA lesion. After surgery, the patient showed a good recovery and was discharged. This case demonstrates that IE can be complicated with CCMA.

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Section: Discussionmentioning

confidence: 99%

Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report

et al. 2018

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Infective endocarditis and caseous calcification of the mitral annulus: The odd couple

Abstract: Caseous calcification of the mitral annulus is an infrequent echocardiographic finding. The differential diagnosis includes other entities like tumors, abscess or thrombus. Both cardiac CT and cardiac MRI may be useful for its definitive diagnosis.

Cited by 1 publication

References 3 publications

Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report

Infective Endocarditis on Caseous Calcification of the Mitral Annulus Involving Both the Anterior and Posterior Annulus: A Rare Case Report

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