Development of caseous calcification of mitral annulus after initiation of hemodialysis therapy

Autor: Kenichi Tsujita, Fumi Oike, Soichi Uekihara, Ryusuke Suzuki, Hirotaka Matsui, Eiichiro Yamamoto, Takeshi Sakaguchi, Kazuhiro Nishigami, Ryusuke Tsunoda, Hiroki Usuku
Rok vydání: 2019
Předmět:
Zdroj: Journal of Cardiology Cases. 19:190-193
ISSN: 1878-5409
Popis: We here present a 59-year-old man who had undergone peritoneal dialysis (PD) for 7 years and hemodialysis for the following 6 years in the Japanese Red Cross Kumamoto Hospital. Six years after commencing PD, transthoracic echocardiography showed a highly echoic mass with a transverse diameter of almost 15 mm in the posterior mitral leaflet. Because the mass increased from 2 years after initiation of hemodialysis, reaching over 25 mm by 6 years after commencing hemodialysis, tumor resection and mitral valve replacement were performed. When the surface of the mass was incised, white opalescent liquid drained out of the mass and histological examination showed multiple calcified nodules and granulation tissue, resulting in diagnosis of a caseous calcification of mitral annulus.
Databáze: OpenAIRE