[Diagnosis of a calcified intramural mass next to the posterior mitral valve: review of 4 cases]

J Radiol. 2009 May;90(5 Pt 1):597-604. doi: 10.1016/s0221-0363(09)74026-0.
[Article in French]

Abstract

Purpose: Calcified intramural tumors next to the posterior mitral valve leaflet are rare. The purpose of this paper is to review the differential diagnosis of such lesions.

Patients and methods: The CT and MR imaging features of 4 patients (2 males, 2 females) aged between 67 and 76 years with calcified mass at the base of the mitral valve annulus on echocardiogram are reviewed.

Results: From a list of potential diagnoses, the two suggested diagnoses include: post-traumatic calcified myocardial hematoma and liquefaction necrosis of mitral annular calcifications. The diagnostic imaging features are reviewed.

Conclusion: Post-traumatic calcified myocardial hematoma and liquefaction necrosis of mitral annular calcifications may be difficult to diagnose but should be recognized bevause they require simple follow-up.

Publication types

  • Case Reports
  • English Abstract

MeSH terms

  • Aged
  • Calcinosis / diagnosis*
  • Cardiomyopathies / diagnosis*
  • Contrast Media
  • Coronary Artery Bypass
  • Diagnosis, Differential
  • Female
  • Heart Atria / pathology
  • Heart Atria / surgery
  • Heart Injuries / complications
  • Heart Injuries / diagnosis
  • Heart Valve Diseases / diagnosis*
  • Heart Valve Prosthesis Implantation
  • Heart Ventricles / pathology
  • Heart Ventricles / surgery
  • Hematoma / diagnosis*
  • Humans
  • Male
  • Mitral Valve / pathology*
  • Wounds, Nonpenetrating / complications
  • Wounds, Nonpenetrating / diagnosis

Substances

  • Contrast Media