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European Journal of Echocardiography Advance Access published online on November 17, 2009
European Journal of Echocardiography, doi:10.1093/ejechocard/jep181
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Published on behalf of the European Society of Cardiology. All rights reserved. © The Author 2009. For permissions please email: journals.permissions@oxfordjournals.org

Mobile ventricular thrombus arising from the mitral annulus in patients with dense mitral annular calcification

Ying T. SIA, Daisy Dulay, Ian G. Burwash, Luc M. Beauchesne, Kathryn Ascah and Kwan L. Chan*

Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, University of Ottawa, Room H3407, 40 Ruskin St., Ottawa, ON, Canada K1Y 4W7

Received 11 May 2009; accepted after revision 21 October 2009.

* Corresponding author. Tel: +1 613 761 4189, Fax: +1 613 761 4170, Email: kchan{at}ottawaheart.ca


  Abstract

Mitral annular calcification (MAC) has been considered a risk factor for thrombo-embolic disease. Superimposed thrombus formation on MAC has not been well described as a possible underlying mechanism for this association. We report three patients with mobile left ventricular (LV) thrombus arising from the LV aspect of severe calcified mitral annulus in the setting of normal LV function, mitral valve function, and sinus rhythm.

Keywords: Mitral annular calcification; LV thrombus; Normal LV function; Sinus rhythm


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