[HSF] Curious mitral lesion

[psimha]

Hal, I also have seen these calcium collections when debriding a 
calcified annulus though I have not seen it in isolation. Probably this 
may (as you have hypothesized) represent the first or early stages of MAC.
Prasanna
Hgrmd at aol.com wrote:
> Mark,
>   I've seen an identical lesion in 2 patients.  The last one was  about 8 
> years ago.  Both were in the P2 area.  The first one I saw, I  merely drained the 
> lesion as you did and the patient came back with MR probably  5 years later.  
> I ended up replacing the valve.  On the 2nd case, I  temporarily detached the 
> posterior leaflet, unroofed the collection, and then  covered it with 
> autologous pericardium. She did well and was eventually  lost to followup.
>   I've no idea what this sterile goop is, but suspect this is a  variant of 
> the process producing calcification of the posterior annulus.   Instead of a 
> hard plaque, it is soft and cheesy.  Quite honestly, I  doubt an unruptured 
> collection would produce embolization, and suspect  your patient had another cause 
> for the stroke.
>  
> Hal
>    
>
>
>
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