Mobile ventricular thrombus arising from the mitral annulus in patients with dense mitral annular calcification

Ying T Sia; Daisy Dulay; Ian G Burwash; Luc M Beauchesne; Kathryn Ascah; Kwan L Chan

doi:10.1093/ejechocard/jep181

Mobile ventricular thrombus arising from the mitral annulus in patients with dense mitral annular calcification

Eur J Echocardiogr. 2010 Mar;11(2):198-201. doi: 10.1093/ejechocard/jep181. Epub 2009 Nov 17.

Authors

Ying T Sia¹, Daisy Dulay, Ian G Burwash, Luc M Beauchesne, Kathryn Ascah, Kwan L Chan

Affiliation

¹ Division of Cardiology, Department of Medicine, University of Ottawa Heart Institute, University of Ottawa, 40 Ruskin St., Ottawa, Ontario, Canada.

PMID: 19919957
DOI: 10.1093/ejechocard/jep181

Abstract

Mitral annular calcification (MAC) has been considered a risk factor for thrombo-embolic disease. Superimposed thrombus formation on MAC has not been well described as a possible underlying mechanism for this association. We report three patients with mobile left ventricular (LV) thrombus arising from the LV aspect of severe calcified mitral annulus in the setting of normal LV function, mitral valve function, and sinus rhythm.

Publication types

Case Reports

MeSH terms

Aged
Calcinosis / diagnostic imaging
Calcinosis / etiology*
Calcinosis / pathology
Chest Pain
Disease Progression
Echocardiography
Echocardiography, Transesophageal
Female
Heart Ventricles / diagnostic imaging
Heart Ventricles / pathology*
Heart Ventricles / surgery
Humans
Male
Middle Aged
Mitral Valve / diagnostic imaging
Mitral Valve / pathology*
Mitral Valve / surgery
Risk Factors
Thrombosis / diagnostic imaging
Thrombosis / etiology*
Thrombosis / surgery
Ventricular Dysfunction / diagnostic imaging
Ventricular Dysfunction / etiology*
Ventricular Dysfunction / surgery