TUMOR-LIKE MITRAL ANNULAR CALCIFICATION WITH CENTRAL LIQUEFACTION

Calcification of the mitral annulus is a degenerative process, which o ccurs mainly in older patients. Rarely, an extensive mitral annular ca lcification (MAC) with central liquefaction was reported. We report th e case of extension of MAC into the adjacent left ventricular posterio r wall along with central liquefaction and posterior mitral leaflet di splacement in a 63-year-old woman. The abnormal size of the MAC and un usual echo density of pasty material inside made a correct diagnosis d ifficult and intracardiac tumor was suspected. Thus, similar uncommon clinical presentation of MAC should be considered in the differential diagnosis of intracardiac masses.