Mobile calcified amourphous tumour in the LVOT.
Keywords:
heart neoplasms, echocardiography, transesophageal echocardiography, mitral valve annular calcification, mitral valve, excision, embolization, left ventricular outflow tractAbstract
Calcified amorphous tumor (CAT) is an extremely rare non-neoplastic cardiac tumor. The origin of CAT remains unclear. They are accompanied by calcification and is often associated with mitral annular calcification(MAC). We present you a case of a 76-year-old woman presenting with a suspicion for a mobile mass within the left ventricular outflow tract during her elective transthoracic echocardiogram. Transthoracic echo failed togive us information because of the bad acoustic window. For that reason a transesophageal echo (TEE) was performed. It showed a mass originating from the anterior leaflet of the mitral valve. The tumor origin was unclear. Because of the high embolic risk a surgical excision of the mass was undertaken, thus reducing the risk of embolization.