%0 Journal Article %T Severe mitral annular calcification in rheumatic heart disease: A rare presentation %A Rajesh Vijayvergiya %A Kim Vaiphei %A Sandeep S Rana %J World Journal of Cardiology %D 2012 %I Baishideng Publishing Group Co. Limited %R 10.4330/wjc.v4.i3.87 %X Severe mitral annular calcification (MAC) is frequently seen in patients with advanced age and chronic kidney disease, but it is rare in rheumatic heart disease (RHD). We hereby report a case of 45-year-old female with chronic RHD, who had severe MAC and mitral regurgitation. Fluoroscopy revealed a ¡°crown¡±-like severe calcification of the mitral annulus. Autopsy of the heart revealed a calcified posterior mitral annulus, fused commissures, and calcified nodules at the atrial aspect of the mitral valve. %K Mitral annular calcification %K Rheumatic heart disease %K Mitral regurgitation %K Autopsy %K Aschoff nodule %U http://www.wjgnet.com/1949-8462/full/v4/i3/87.htm