Intra-pericardial rupture of a caseous calcified mass of the mitral annulus

A 64-year-old female with a medical history of hypertension, dyslipidemia, and a family history of coronary artery disease, was referred to an external institution for persistent retro-sternal chest pain. Her ECG showed a significant ST depression and the patient's blood troponin level was normal. A coronary angiography showed only mild stenosis of the posterior interventricular artery that did not required an angioplasty. Transthoracic Echocardiogram (TTE) showed an irregular calcified mass of the posterior mitral annulus with mitral regurgitation due to a reduction in posterior leaflet motion.
Source: Journal of Cardiovascular Computed Tomography - Category: Radiology Authors: Tags: Case report Source Type: research