García-Ibarrondo Nora, Lang Roberto M
Servicio de Cardiología, Hospital de Basurto, Bilbao, Vizcaya, España.
Rev Esp Cardiol. 2011 Sep;64(9):828-31. doi: 10.1016/j.recesp.2010.12.009. Epub 2011 May 23.
Caseous calcification of mitral annulus, also known as caseoma, is a rare echocardiographic finding. Because it often presents asymptomatically, the diagnosis is usually incidental. The condition arises due to caseous degeneration in the internal material of the mitral annulus calcification. On echocardiography, the calcification is a round mass with a central echolucent area, typically located at the base of the posterior leaflet, and can be mistaken for cardiac tumors or abscesses. We describe 3 patients with the condition, one of whom required surgical removal of the mass to obtain a definitive diagnosis.
二尖瓣环干酪样钙化，也称为干酪瘤，是一种罕见的超声心动图表现。由于它通常无症状，诊断往往是偶然的。这种情况是由于二尖瓣环钙化内部物质的干酪样变性引起的。在超声心动图上，钙化表现为一个中央有透声区的圆形肿块，通常位于后叶基部，可能被误诊为心脏肿瘤或脓肿。我们描述了3例患有这种疾病的患者，其中1例需要手术切除肿块以获得明确诊断。
