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European Journal of Echocardiography 2006 7(1):62-66; doi:10.1016/j.euje.2005.02.004
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Copyright © 2005, The European Society of Cardiology

Intracardiac pseudotumor caused by mitral annular calcification

E.A. de Vreya,*, A.J.H.A. Scholtea, X.H. Kraussa, R.A. Dionb, D. Poldermansc, E.E. van der Walla and J.J. Baxa

aDepartment of Cardiology, Leiden University Medical Center, Leiden, The Netherlands
bDepartment of Thoracic Surgery, Leiden University Medical Center, Leiden, The Netherlands
cDepartment of Cardiology, Erasmus Medical Center, Rotterdam, The Netherlands

Received 29 September 2004; accepted after revision 12 February 2005.

* Corresponding author. Tel.: +31 71 5283944. e.a.de_vrey{at}lumc.nl


  Abstract

The current report describes a rare case of a pseudotumor in the left ventricle. Transthoracic and transesophageal echocardiography demonstrated a round, echodense, mobile mass attached to the posterior mitral leaflet and annulus. At surgical exploration caseous annular calcification of the posterior mitral leaflet was diagnosed. After resection of the mass, successful mitral valvular plasty was performed. Review of the literature indicated that mitral annular calcification is associated with an increased risk of stroke. Optimal treatment may be surgery, especially when valve plasty can be performed, although randomized trials are currently lacking.

Keywords: Intracardiac masses; Echocardiography; Mitral annular calcification


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