A mitral annulus challenging mass: Role of cardiac magnetic resonance in the diagnosis of caseous calcification of the mitral annulus.

CASE REPORT, March 2015, VOL III ISSUE I, ISSN 2042-4884
10.5083/ejcm.20424884.133 , Cite or Link Using DOI
Creating a Digital Object Identifier Link

A digital object identifier (DOI) can be used to cite and link to electronic documents. A DOI is guaranteed never to change, so you can use it to link permanently to electronic documents.

To find a document using a DOI

  1. Copy the DOI of the document you want to open.
    The correct format for citing a DOI is as follows: doi:10.1016/S0140-6736(08)61345-8
  2. Open the following DOI site in your browser:
  3. Enter the entire DOI citation in the text box provided, and then click Go.
    The document that matches the DOI citation will display in your browser window.

The DOI scheme is administered by the International DOI Foundation. Many of the world's leading publishers have come together to build a DOI-based document linking scheme known as CrossRef.

Manuel De Lazzari MD, Antonella Cecchetto MD, Giorgio De Conti MD; Sabino Iliceto MD & Martina Perazzolo Marra MD PhD


Cardiovascular magnetic resonance (CMR) is the current cornerstone imaging modality to evaluate cardiac masses and to differentiate thrombus from other findings1. Caseous calcification of the mitral valve annulus (CCMA) is a rare variant of annular calcification occurring in 0.06% of patients of all ages who undergo echocardiography2. This disorder appears in echocardiography as a large spherical mass-like calcification with a central echo-lucent area that may be leading to diagnostic errors. In fact, it should be differentiated from an abscess, tumor and thrombus. The present case refers to a patient with a mass-like calcification of the mitral annulus disclosed occasionally during a heart failure work up.