Acute coronary syndrome with ST-elevation secondary to caseous degeneration of the mitral annulus

Authors

  • Ángela Juez-Jiménez Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain
  • Rosa Eva Bautista-Alonso Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain
  • Sara Gómara-de la Cal Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain
  • Natalia Espinosa Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain
  • Lara Ruiz-Belmonte Servicio de Medicina Interna, Hospital Universitario Miguel Servet, Zaragoza, Spain

DOI:

https://doi.org/10.32818/reccmi.a2n1a2

Keywords:

caseus calcification mitral annulus, SCACEST

Abstract

Calcification of mitral annulus (CMA) is a frequent echocardiographic finding in the elderly population, but the caseous calcification of the mitral annulus (CCAM) is a rare variant (prevalence 0.06-0.07%) of this process. It is a casual finding in most cases, but may be a cause of mitral valve dysfunction, AV conduction disorders, or cere- brovascular or cardiac embolism. We present the case of an ST-Elevation Acute Coronary Syndrome (SCACEST) as an uncommon clinical expression of CCAM, where imaging techniques were fundamental to establish the final diagnosis.

Downloads

Download data is not yet available.

Metrics

Metrics Loading ...

References

Deluca G, Correale M, Leva R, Del Salvatore B, Gramenzi S, Di Biase M. The incidence and clinical course of caseous calcification of the mitral annulus. J Am Soc Echocardiogr. 2008; 21: 828-833.

Harpaz D, Auerbach I, Vered Z, Motro M, Tobar A, Rosenblatt S. Caseous calcification of the mitral annulus: a neglected, unrecognized diagnosis. J Am Soc Echocardiogr. 2001; 14:825-831.

Elgendy IY, Conti CR. MACC. Caseous Calcification of the Mitral Annulus: A Review. Clin Cardiol. 2013; 36(10): E27-E31.

García-Ibarrondo N, Lang RM. Calcificación caseosa del anillo mitral, un raro hallazgo ecocardiográfico. Rev Esp Cardiol. 2011: 64(9): 828-831.

Martínez-de Alegría A, Delgado-Sánchez-Gracián C, Fernández-Pérez, Peña-Gil G. Necrosis licuefactiva del anillo mitral. Radiología. 2010; 52(2): 157-161.

Fernández-Golfín C, Jiménez C, Centeno J. Calcificación caseosa del anillo mitral: papel de la cardiorresonancia. Rev Esp Cardiol. 2009; 62: 827-830.

Alkadhi H, Leschaka S, Pretre R, Perren A, Marincek B, Wildermuth S. Caseous calcification of mitral annulus. J Thorac Cardiovasc Surg. 2005; 129: 1438-1440.

Published

2017-04-30

How to Cite

1.
Juez-Jiménez Ángela, Bautista-Alonso RE, Gómara-de la Cal S, Espinosa N, Ruiz-Belmonte L. Acute coronary syndrome with ST-elevation secondary to caseous degeneration of the mitral annulus. Rev Esp Casos Clin Med Intern [Internet]. 2017 Apr. 30 [cited 2024 Jul. 22];2(1):3-5. Available from: https://www.reccmi.com/RECCMI/article/view/67

Most read articles by the same author(s)