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Case Reports in Medicine
Volume 2013, Article ID 972684, 3 pages
Case Report

Mitral Annular Caseous Calcification: A Rare Variant of a Common Echocardiographic Finding Discovered with Advanced Imaging Techniques

Cardiology Service, San Antonio Military Medical Center, 3851 Roger Brooke Drive, San Antonio Army Medical Center, San Antonio, TX 78234-6200, USA

Received 5 February 2013; Accepted 7 April 2013

Academic Editor: Michael S. Firstenberg

Copyright © 2013 William L. Pomeroy et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.


We present the case of a 90-year-old diabetic male and medically managed three-vessel coronary artery disease with evidence of an oval, nonmobile echo-density located on the posterior mitral valve annulus measuring two centimeters in diameter without significant impingement of the mitral valve on initial screening echocardiogram which was initially thought to be prominent mitral annular calcification which was later confirmed to be a rare case of caseoma as confirmed by both cardiac magnetic resonance (CMR) as well as coronary computed tomographic angiography (CCTA).