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Mitral Valve Restoration in a Case of Destructive Caseous Annular Calcification Using a MitroFix Hybrid Prosthesis

Figure 1. The caseous mitral annular and leaflet calcification can be seen extending from 3 to 8 o’clock clockwise along the posterior mitral leaflet. The image is orientated as the surgeon views the mitral valve through a standard left atriotomy. Caseous mitral annular calcification is a condition seen in the elderly. It may masquerade as an intracardiac tumor and is associated with severe valvular regurgitation due to loss of leaflet coaptation. Two-dimensional echocardiogram, computed tomography, or contrast cardiac mag-