Kim Eun Jin, Song Bong Gun, Sohn Hyung Rae, Hong Su-Min, Park Dong Won, Heo Seung Hye, Kim Kye Yeon, Cho Wook-Hyun, Choi Suk-Koo
Division of Cardiology, Cardiac and Vascular Center, Department of Medicine, Inje University Seoul Paik Hospital, Inje University School of Medicine, Seoul, Korea.
Cardiol Res. 2011 Jun;2(3):127-129. doi: 10.4021/cr29w. Epub 2011 May 20.
Extensive papillary muscle calcification is uncommon and only scarce literature about causes and the clinical significance is available, whereas small calcific deposits are common findings in elderly people and are located most commonly at the apex. Papillary muscle calcification has been associated with coronary artery disease, dilated cardiomyopathy, mitral valve disease, hypercalcemia, and increased calcium phosphate product in end stage renal disease. We reported a rare case of extensive calcification of anterolateral papillary muscle diagnosed by echocardiography and multidetector computed tomography.
广泛的乳头肌钙化并不常见,关于其病因和临床意义的文献也很匮乏,而小的钙化沉积物在老年人中是常见发现,最常见于乳头肌尖部。乳头肌钙化与冠状动脉疾病、扩张型心肌病、二尖瓣疾病、高钙血症以及终末期肾病中磷酸钙乘积增加有关。我们报告了一例罕见的经超声心动图和多排计算机断层扫描诊断为前外侧乳头肌广泛钙化的病例。