Portal de Periódicos da CAPES

Severe Mitral Annular Calcification

2016; Elsevier BV; Volume: 9; Issue: 11 Linguagem: Inglês

10.1016/j.jcmg.2016.09.001

1936-878X

Mackram F. Eleid, Thomas A. Foley, Sameh M. Said, Sorin V. Pislaru, Charanjit S. Rihal,

Cardiac Imaging and Diagnostics

Mitral annular calcification (MAC) is a chronic degenerative process associated with advanced age and conditions predisposing to left ventricular hypertrophy. Assessment of mitral valve disease in patients with severe MAC can be a challenge. When severe MAC results in mitral stenosis or regurgitation, multimodality imaging with 2-dimensional, 3-dimensional, and Doppler echocardiography and cardiac computed tomography angiography can delineate the severity and pathoanatomic features to help guide therapeutic strategies. New approaches using computer-assisted simulation of transcatheter valves and novel percutaneous and surgical techniques are being used to devise effective alternative strategies to conventional mitral valve replacement in this high-risk group of patients.