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Ann Thorac Surg 1998;66:952-954
© 1998 The Society of Thoracic Surgeons

Case Reports

Tophaceous pseudogout of the mitral valve

Marc R. Moon, MDa, James I. Fann, MDa, Prakash C. Deedwania, MDb, Rollington Ferguson, MDb, Jon C. Kosek, MDc, Thomas A. Burdon, MDa

a Division of Cardiothoracic Surgery, Veterans Affairs Health Care System, Palo Alto, California, USA
b Division of Cardiology, Veterans Affairs Health Care System, Palo Alto, California, USA
c Department of Pathology, Veterans Affairs Health Care System, Palo Alto and Fresno, California, USA

Accepted for publication April 6, 1998.

Address reprint requests to Dr Moon, Department of Cardiothoracic Surgery, Washington University, St. Louis, MO 63110-1013

This report describes a 61-year-old patient on chronic hemodialysis with multiple, left-sided, intracardiac masses causing intermittent coronary obstruction. Mitral valve replacement was performed. Massive deposition of calcium pyrophosphate crystals in and around the valve cusps led to the diagnosis of tophaceous pseudogout (tumoral calcinosis) of the mitral valve.






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Copyright © 1998 by The Society of Thoracic Surgeons.