Open Access Archives

Abstract: We report a case of chest X-ray finding of mitral annular calcification. Mitral annular calcification is a degenerative process involving the fibrous annulus of the mitral valve. It is generally an incidental finding associated with aging and atherosclerosis. It may lead to significant mitral regurgitation and can rarely cause symptomatic mitral stenosis. In addition, mitral annulus calcification may be associated with atrial fibrillation and cardiac arrhythmia. Calcification of mitral annulus in the chest X-ray generally follows the C-shape of the mitral annulus. Confirmation is by echocardiography. Symptomatic cases require repair by surgery. Key Words: Mitral annulus; Intra cardiac calcification. Case report We report an interesting finding in a routine pre operative chest X-ray in a 62 years old patient who had to undergo surgery for carcinoma of the stomach. The patient did not have any cardiac or respiratory symptoms. There was no past history of pulmonary tuberculosis or other significant lung disease. Clinical examination of cardio respiratory system was normal. There were no cardiac murmurs. Chest x ray showed a calcified structure in left lower zone, well localized in lateral view, suggestive of mitral annular calcification.(Fig. 1