Martínez De Alegría Alonso A, Delgado Sánchez-Gracián C, Fernández Pérez G, Peña Gil C
Servicio de Radiología, Hospital Clínico Universitario de Santiago de Compostela, Santiago de Compostela, España.
Radiologia. 2010 Mar-Apr;52(2):157-61. doi: 10.1016/j.rx.2009.11.006. Epub 2010 Jan 25.
Liquefactive necrosis of the mitral ring is a rare type of periannular calcification that has a characteristic appearance. It is usually discovered incidentally during echocardiography. On CT, it typically appears as a hypointense or hyperintense semilunar mass with margins of greater density that is situated in the area behind the annulus. The routine use of MDCT has led to increasing detection of this entity, and it is important for radiologists to be familiar with these findings to avoid diagnostic errors. We present three cases of liquefactive necrosis of the mitral ring, one of which was confirmed at surgery. We discuss the imaging characteristics and differential diagnosis of this entity.
二尖瓣环液化性坏死是一种罕见的瓣环周围钙化类型,具有特征性表现。通常在超声心动图检查时偶然发现。在CT上,它通常表现为一个低密度或高密度的半月形肿块,边缘密度更高,位于瓣环后方区域。多层螺旋CT的常规使用使得对该病变的检出率不断提高,放射科医生熟悉这些表现以避免诊断错误很重要。我们报告三例二尖瓣环液化性坏死病例,其中一例经手术证实。我们讨论了该病变的影像学特征及鉴别诊断。