verkäsende Kalzifikation der Mitralklappe

Caseous

calcification of the mitral valve annulus. Echocardiography showed large echogenic mass lesion involving the mitral annulus and possibly extending to the left atrial lumen.

Caseous

calcification as a cause of heart failure evaluated by multimodality imaging. Apical four chamber echocardiogram still image with large echogenic mass located in the interventricular septum. There is also evidence of significant mitral annular calcification.

Caseous

calcification as a cause of heart failure evaluated by multimodality imaging. Non-contrast Cardiac gated CT axial view shows diffuse calcification of the mitral annulus (arrow), with extension into the aortic valve and interventricular septum.

Caseous

calcification as a cause of heart failure evaluated by multimodality imaging. Contrast-enhanced cardiac CT long-axis 2 chambers multiplanar reconstruction (MPR) confirms the massive calcification of the mitral annulus (arrow).

Caseous

calcification as a cause of heart failure evaluated by multimodality imaging. Contrast-enhanced cardiac CT short-axis multiplanar reconstruction (MPR) shows the massive calcification and myxomatous degeneration of the mitral annulus (arrow).

Caseous

calcification as a cause of heart failure evaluated by multimodality imaging. 3D volume rendering confirms size/location of mitral mass.

Caseous

calcification as a cause of heart failure evaluated by multimodality imaging. Posterior anterior/central view left heart catheterization shows the calcified mass (white arrows).

Caseous

calcification of the mitral valve annulus. Axial T2* CMR demonstrates blooming effets related to the heavy calcifications of the lesion.

Caseous

calcification of the mitral valve annulus. Axial CMR bright blood 4 chamber view of the heart demonstrates mitral valve dysfunction sequel to the valve annulus mass with subsequent regurgitation seen as aliasing during ventricle contraction.

Caseous

calcification of the mitral valve annulus. Delayed enhancement CMR sagittal view demonstrates intense enhancement of the periphery of the mass lesion at the posterior commissure of mitral valve as compared to the completely nulled myocardium.

Caseous

calcification of the mitral valve annulus. Post operative CT brain following surgical mitral annulus debridement and valve replacement demonstrates multiple cerebral lacunar infarcts.

Caseous

calcification of the mitral valve annulus. Sagittal two chamber view of the heart with involvement of the mitral valve posterior commissure.

Caseous

calcification of the mitral valve annulus. Axial CT chest before contrast adminstration showed large dense calcified mass lesion of the mitral valve.

Caseous

calcification of the mitral valve annulus. Exploration of the mitral annulus surface demonstrates expansion by whitish toothpaste-like material.