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Severe mitral annular calcification in rheumatic heart disease: A rare presentationDOI: 10.4330/wjc.v4.i3.87 Keywords: Mitral annular calcification , Rheumatic heart disease , Mitral regurgitation , Autopsy , Aschoff nodule Abstract: 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.
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