Management of Patients With Severe Mitral Annular Calcification: JACC State-of-the-Art Review

J Am Coll Cardiol. 2022 Aug 16;80(7):722-738. doi: 10.1016/j.jacc.2022.06.009.

Abstract

Mitral annular calcification (MAC) is a common and challenging pathologic condition, especially in the context of an aging society. Surgical mitral valve intervention in patients with MAC is difficult, with varying approaches to the calcified annular anatomy, and the advent of transcatheter valve interventions has provided additional treatment options. Advanced imaging provides the foundation for heart team discussions and management decisions concerning individual patients. This review focuses on the prognosis of, preoperative planning for, and management strategies for patients with MAC.

Keywords: mitral annular calcification; mitral valve; surgery; valve-in-MAC.

Publication types

  • Review

MeSH terms

  • Calcinosis* / diagnostic imaging
  • Calcinosis* / surgery
  • Heart Valve Diseases* / diagnostic imaging
  • Heart Valve Diseases* / surgery
  • Heart Valve Prosthesis Implantation* / methods
  • Humans
  • Mitral Valve / diagnostic imaging
  • Mitral Valve / pathology
  • Mitral Valve / surgery
  • Mitral Valve Insufficiency* / diagnostic imaging
  • Mitral Valve Insufficiency* / surgery
  • Treatment Outcome