Porcelain Heart: Rapid Progression of Cardiac Calcification in a Patient with Hemodialysis.
10.4250/jcu.2012.20.4.193
- Author:
Hyeon Uk LEE
1
;
Ho Joong YOUN
;
Byung Ju SHIM
;
Seung Jae LEE
;
Mi Youn PARK
;
Jin Uk JEONG
;
Gwan Min GU
;
Hui Kyung JEON
;
Ji Eun LEE
;
Byung Jin KWON
Author Information
1. Division of Cardiology, Department of Internal Medicine, Pohang St. Mary's Hospital, Pohang, Korea.
- Publication Type:Case Report
- Keywords:
End stage renal disease;
Secondary hyperparathyroidism;
Myocardial calcification;
Mitral valve stenosis
- MeSH:
Cardiomyopathies;
Dental Porcelain;
Echocardiography;
Humans;
Hyperparathyroidism;
Hyperparathyroidism, Secondary;
Hypertrophy, Left Ventricular;
Kidney Failure, Chronic;
Mitral Valve;
Mitral Valve Stenosis;
Parathyroidectomy;
Renal Dialysis
- From:Journal of Cardiovascular Ultrasound
2012;20(4):193-196
- CountryRepublic of Korea
- Language:English
-
Abstract:
Cardiac calcification usually occurs in patients with end-stage renal disease. However, rapid progression of cardiac calcification is rarely associated with secondary hyperparathyroidism of end-stage renal disease. We report a patient with end-stage renal disease who showed moderate left ventricular hypertrophy at the first echocardiography, and showed severe myocardial calcification and severe mitral valve stenosis 4 years later. We suspected a rapid progression 'porcelain heart' cardiomyopathy secondary to hyperparathyroidism of end-stage renal disease. The patient underwent parathyroidectomy, and considered mitral valve replacement.
