Pawa Arpita, Savani Saloni, Chammany Michael, Mukherjee Saahir, Gayle Kathryn
Internal Medicine, Willis Knighton Health, Shreveport, USA.
Medical School, Edward Via College of Osteopathic Medicine, Monroe, USA.
Cureus. 2024 Aug 19;16(8):e67226. doi: 10.7759/cureus.67226. eCollection 2024 Aug.
Cardiac calcification refers to calcium deposits in the coronary arteries, heart valves, pericardium, or myocardium. Calcium deposition within the myocardium is unique and can be secondary to metastatic or dystrophic calcification. Both forms are linked to cardiac abnormalities and poor prognosis. The most common causes include myocardial infarction, sepsis, myocarditis, renal failure, and hyperparathyroidism. Here, we report the case of a 74-year-old male who was found to have gallbladder adenocarcinoma with subsequent preoperative workup indicating possible metastases to the myocardium. With the use of multimodality imaging, particularly cardiac MRI, the differentiation between metastatic disease and intramyocardial calcification was made. The case aims to highlight the complexity of diagnosing and managing myocardial calcifications and underscores the need for further research into their etiology and implications.
心脏钙化是指冠状动脉、心脏瓣膜、心包或心肌中的钙沉积。心肌内的钙沉积较为独特，可能继发于转移性或营养不良性钙化。这两种形式均与心脏异常及不良预后相关。最常见的病因包括心肌梗死、脓毒症、心肌炎、肾衰竭和甲状旁腺功能亢进。在此，我们报告一例74岁男性患者，其被发现患有胆囊腺癌，随后的术前检查提示可能已转移至心肌。通过使用多模态成像，尤其是心脏磁共振成像，鉴别了转移性疾病和心肌内钙化。该病例旨在突出诊断和处理心肌钙化的复杂性，并强调有必要对其病因及影响进行进一步研究。
