Plínio José Whitaker Wolf et al. Edileide Barros Correia Marcos de Oliveira Vasconcellos Larissa Ventura Ribeiro Bruscky … Ana Cristina de Souza Murta Yoná Afonso Francisco Eduardo Mikio Sassaki Sara Regina Alcalde Domingos Natan Alevato Donadon Gerson Miranda Raphael Rossi Victor Bemfica de Mello Mattos Fernanda de Brito Fortuna
Abstract
Caseous necrosis of the mitral valve is the term used to describe the liquefaction of calcium present in its fibrous ring and the consequent formation of a pseudotumor with a thick, pasty content within. Although rare, this degenerative process has been widely described in the context of the mitral valve; however, it is little known in the context of constrictive pericarditis. We describe a series of seven cases that presented with constrictive pericarditis associated with caseous necrosis. Of the seven patients, six were male, with a mean age of 42±14 years, all in functional class III/IV, with clinical signs related to restrictive syndrome. Chest tomography showed intense pericardial calcification with caseous necrosis, confirmed by pericardiectomy.
