Lopez Avecilla Matias, Corneli Mariana, Killinger Gisela, Rodriguez Correa Carlos
Departamento de Diagnóstico por Imágenes en Cardiología, Centro Diagnóstico Dr Enrique Rossi, Buenos Aires, Argentina.
Eur Heart J Case Rep. 2020 Nov 8;4(6):1-5. doi: 10.1093/ehjcr/ytaa283. eCollection 2020 Dec.
Metastatic cardiac calcifications are often seen in patients with renal failure and dialysis associated with vascular calcification and calcifications in other organs. There is little to no evidence of metastatic cardiac calcification in patients with a history of rickets.
A 40-year-old patient with a history of rickets treated in infancy and no personal history of cardiovascular or renal disease came for a periodical examination. Transthoracic echocardiogram showed an important calcification in the mitral annulus and the mitro-aortic junction. Computed tomography (CT) showed marked calcification affecting the heart fibrous skeleton. Coronary arteries were not affected.
Distribution of heart calcification seen both with echocardiography and CT is important to report so they can be identified as dystrophic or metastatic. These two have different aetiologies so the description may help identify the possible cause.
转移性心脏钙化常见于肾衰竭和透析患者，常伴有血管钙化及其他器官钙化。几乎没有证据表明有佝偻病病史的患者会发生转移性心脏钙化。
一名40岁患者，婴儿期曾患佝偻病，无心血管或肾脏疾病个人史，前来进行定期检查。经胸超声心动图显示二尖瓣环和二尖瓣 - 主动脉连接处有明显钙化。计算机断层扫描（CT）显示心脏纤维骨架有明显钙化。冠状动脉未受影响。
报告超声心动图和CT所见的心脏钙化分布很重要，以便将其识别为营养不良性或转移性。这两种钙化病因不同，因此描述可能有助于确定可能的病因。
