A Case of Caseous Calcification of a Mitral Annulus with Mitral Regurgitation and Ischemic Heart Disease
10.4326/jjcvs.44.362
- VernacularTitle:僧帽弁後尖の乾酪性石灰化病変を伴った冠動脈多枝病変および僧帽弁閉鎖不全症の1手術例
- Author:
Eigo Ikushima
;
Toru Yasutsune
;
Masato Sakamoto
- Publication Type:Journal Article
- Keywords:
caseous calcification;
mitral annular calcification;
ischemic mitral regurgitation
- From:Japanese Journal of Cardiovascular Surgery
2015;44(6):362-365
- CountryJapan
- Language:Japanese
-
Abstract:
Caseous calcification of mitral annulus is a rare disease characterized by tumors of the mitral cusps. Operative case reports, however, are rare because this lesion seldom negatively affects hemodynamics. We encountered a 67-year-old female case of mitral regurgitation with caseous calcification of mitral posterior annulus due to ischemic heart disease and performed mitral valve replacement and CABG. The excision of the mitral thickened lesion resulted in a defect of the mitral annulus, which needed to be repaired with an autologous pericardial patch. We mainly report the intraoperative findings of this case.
