PMC8295856_01
Multimodality imaging of severe coralliform mitral stenosis and porcelain aorta. A: X-ray chest posteroanterior view showed cardiomegaly, mitral annular calcification (MAC), and aorta (arrow). B: echocardiogram apical 4 chamber view confirmed the MAC (arrow), left atrium enlargement, and anterograde accelerated flow through the stenotic mitral valve (head arrow). C: magnetic resonance 4 chamber plane showed mitral stenosis and mild regurgitation. D, E: non-contrast thoracic computed tomography images showed maximum intensity projection reconstructions of a short axis D and two chamber E views where severe coralliform mitral calcification is shown (arrow), also severe calcification of the aortic arch is depicted (head arrow). F: fluoroscopic image of coralliform MAC (arrow). Note the similarities of the mitral calcification shown by different methods.
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F1
We present the case of a 70-year-old woman with coralliform mitral annular calcification (MAC) and porcelain aorta with multimodality approach of the mitral disease as shown in Figure 1.