Approach to Management of Cardiac Calcified Amorphous Tumor

A 76-year-old female with a known medical history of treated essential hypertension, hyperlipidemia, and obesity presented to her primary care provider for 2 months of worsening left-sided vision loss. Ophthalmologic evaluation demonstrated a left retinal artery branch occlusion leading to echocardi...

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Bibliographic Details
Published in:The American journal of cardiology Vol. 251; pp. 34 - 37
Main Authors: Wilson, Parker, Pillai, Priyamvada, Reiss, Jacob, Zhou, Matthew, Rafael, Aldo, Mody, Purav
Format: Journal Article
Language:English
Published: United States Elsevier Inc 15.09.2025
Elsevier Limited
Subjects:
Aged
Asymptomatic
Calcification
Calcified amorphous tumors
Calcinosis - diagnosis
Calcinosis - diagnostic imaging
Calcinosis - surgery
Cardiomyopathies - diagnosis
Cardiomyopathies - surgery
Case reports
Diabetes
Echocardiography
Embolisms
Endocarditis
Female
Health services
Heart Neoplasms - diagnosis
Heart Neoplasms - surgery
Humans
Hyperlipidemia
Kidney diseases
Mitral annular calcification-related calcified amorphous tumor
Mitral valve
Mitral Valve - diagnostic imaging
Multidisciplinary practices
Occlusion
Patients
Primary care
Recurrence of calcified amorphous tumor
Tumors
Ultrasonic imaging
Calcified amorphous tumors
Mitral annular calcification-related calcified amorphous tumor
Recurrence of calcified amorphous tumor
ISSN:0002-9149, 1879-1913, 1879-1913
Online Access:Get full text
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Description
Summary:A 76-year-old female with a known medical history of treated essential hypertension, hyperlipidemia, and obesity presented to her primary care provider for 2 months of worsening left-sided vision loss. Ophthalmologic evaluation demonstrated a left retinal artery branch occlusion leading to echocardiographic evaluation which revealed a large mobile echodensity on the mitral valve. Given specific clinical features and echocardiographic characteristics, the suspicion was highest for calcified amorphous tumor (CAT). Excision of this mass confirmed the diagnosis of CAT. There is currently clinical equipoise in literature regarding the best treatment strategy for these tumors therefore a multidisciplinary approach should be used to formulate individualized treatment plans.
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ISSN:0002-9149
1879-1913
1879-1913
DOI:10.1016/j.amjcard.2025.05.013