Diagnosis, Classification, and Management Strategies for Mitral Annular Calcification: A Heart Valve Collaboratory Position Statement

Mayra E. Guerrero; Paul Grayburn; Robert L. Smith; Paul Sorajja; Dee Dee Wang; Yousif Ahmad; David Blusztein; João Cavalcante; Gilbert H.L. Tang; Gorav Ailawadi; D. Scott Lim; Philipp Blanke; Mackram F. Eleid; Tsuyoshi Kaneko; Vinod H. Thourani; Vinayak Bapat; Michael J. Mack; Martin B. Leon; Isaac George

doi:10.1016/j.jcin.2023.06.044

Diagnosis, Classification, and Management Strategies for Mitral Annular Calcification: A Heart Valve Collaboratory Position Statement

Mayra E. Guerrero, Paul Grayburn, Robert L. Smith, Paul Sorajja, Dee Dee Wang, Yousif Ahmad, David Blusztein, João Cavalcante, Gilbert H.L. Tang, Gorav Ailawadi, D. Scott Lim, Philipp Blanke, Mackram F. Eleid, Tsuyoshi Kaneko, Vinod H. Thourani, Vinayak Bapat, Michael J. Mack, Martin B. Leon, Isaac George

Cardiovascular Medicine

Research output: Contribution to journal › Review article › peer-review

Abstract

Mitral annular calcium (MAC) with severe mitral valvular dysfunction presents a complex problem, as valve replacement, either surgical or transcatheter, is challenging because of anatomy, technical considerations, concomitant comorbidities, and advanced age. The authors review the clinical and anatomical features of MAC that are favorable (green light), challenging (yellow light), or prohibitive (red light) for surgical or transcatheter mitral valve interventions. Under the auspices of the Heart Valve Collaboratory, an expert working group of cardiac surgeons, interventional cardiologists, and interventional imaging cardiologists was formed to develop recommendations regarding treatment options for patients with MAC as well as a proposed grading and staging system using both anatomical and clinical features.

Original language	English (US)
Pages (from-to)	2195-2210
Number of pages	16
Journal	JACC: Cardiovascular Interventions
Volume	16
Issue number	18
DOIs	https://doi.org/10.1016/j.jcin.2023.06.044
State	Published - Sep 25 2023

Keywords

mitral annulus calcification
mitral annulus calcification severity classification
mitral valve surgery
transcatheter mitral valve replacement

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jcin.2023.06.044

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Guerrero, M. E., Grayburn, P., Smith, R. L., Sorajja, P., Wang, D. D., Ahmad, Y., Blusztein, D., Cavalcante, J., Tang, G. H. L., Ailawadi, G., Lim, D. S., Blanke, P., Eleid, M. F., Kaneko, T., Thourani, V. H., Bapat, V., Mack, M. J., Leon, M. B., & George, I. (2023). Diagnosis, Classification, and Management Strategies for Mitral Annular Calcification: A Heart Valve Collaboratory Position Statement. JACC: Cardiovascular Interventions, 16(18), 2195-2210. https://doi.org/10.1016/j.jcin.2023.06.044

Guerrero, ME, Grayburn, P, Smith, RL, Sorajja, P, Wang, DD, Ahmad, Y, Blusztein, D, Cavalcante, J, Tang, GHL, Ailawadi, G, Lim, DS, Blanke, P, Eleid, MF, Kaneko, T, Thourani, VH, Bapat, V, Mack, MJ, Leon, MB & George, I 2023, 'Diagnosis, Classification, and Management Strategies for Mitral Annular Calcification: A Heart Valve Collaboratory Position Statement', JACC: Cardiovascular Interventions, vol. 16, no. 18, pp. 2195-2210. https://doi.org/10.1016/j.jcin.2023.06.044

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title = "Diagnosis, Classification, and Management Strategies for Mitral Annular Calcification: A Heart Valve Collaboratory Position Statement",

abstract = "Mitral annular calcium (MAC) with severe mitral valvular dysfunction presents a complex problem, as valve replacement, either surgical or transcatheter, is challenging because of anatomy, technical considerations, concomitant comorbidities, and advanced age. The authors review the clinical and anatomical features of MAC that are favorable (green light), challenging (yellow light), or prohibitive (red light) for surgical or transcatheter mitral valve interventions. Under the auspices of the Heart Valve Collaboratory, an expert working group of cardiac surgeons, interventional cardiologists, and interventional imaging cardiologists was formed to develop recommendations regarding treatment options for patients with MAC as well as a proposed grading and staging system using both anatomical and clinical features.",

keywords = "mitral annulus calcification, mitral annulus calcification severity classification, mitral valve surgery, transcatheter mitral valve replacement",

author = "Guerrero, {Mayra E.} and Paul Grayburn and Smith, {Robert L.} and Paul Sorajja and Wang, {Dee Dee} and Yousif Ahmad and David Blusztein and Jo{\~a}o Cavalcante and Tang, {Gilbert H.L.} and Gorav Ailawadi and Lim, {D. Scott} and Philipp Blanke and Eleid, {Mackram F.} and Tsuyoshi Kaneko and Thourani, {Vinod H.} and Vinayak Bapat and Mack, {Michael J.} and Leon, {Martin B.} and Isaac George",

note = "Publisher Copyright: {\textcopyright} 2023 American College of Cardiology Foundation",

year = "2023",

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doi = "10.1016/j.jcin.2023.06.044",

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T2 - A Heart Valve Collaboratory Position Statement

AU - Guerrero, Mayra E.

AU - Grayburn, Paul

AU - Smith, Robert L.

AU - Sorajja, Paul

AU - Wang, Dee Dee

AU - Ahmad, Yousif

AU - Blusztein, David

AU - Cavalcante, João

AU - Tang, Gilbert H.L.

AU - Ailawadi, Gorav

AU - Lim, D. Scott

AU - Blanke, Philipp

AU - Eleid, Mackram F.

AU - Kaneko, Tsuyoshi

AU - Thourani, Vinod H.

AU - Bapat, Vinayak

AU - Mack, Michael J.

AU - Leon, Martin B.

AU - George, Isaac

PY - 2023/9/25

Y1 - 2023/9/25

N2 - Mitral annular calcium (MAC) with severe mitral valvular dysfunction presents a complex problem, as valve replacement, either surgical or transcatheter, is challenging because of anatomy, technical considerations, concomitant comorbidities, and advanced age. The authors review the clinical and anatomical features of MAC that are favorable (green light), challenging (yellow light), or prohibitive (red light) for surgical or transcatheter mitral valve interventions. Under the auspices of the Heart Valve Collaboratory, an expert working group of cardiac surgeons, interventional cardiologists, and interventional imaging cardiologists was formed to develop recommendations regarding treatment options for patients with MAC as well as a proposed grading and staging system using both anatomical and clinical features.

AB - Mitral annular calcium (MAC) with severe mitral valvular dysfunction presents a complex problem, as valve replacement, either surgical or transcatheter, is challenging because of anatomy, technical considerations, concomitant comorbidities, and advanced age. The authors review the clinical and anatomical features of MAC that are favorable (green light), challenging (yellow light), or prohibitive (red light) for surgical or transcatheter mitral valve interventions. Under the auspices of the Heart Valve Collaboratory, an expert working group of cardiac surgeons, interventional cardiologists, and interventional imaging cardiologists was formed to develop recommendations regarding treatment options for patients with MAC as well as a proposed grading and staging system using both anatomical and clinical features.

KW - mitral annulus calcification

KW - mitral annulus calcification severity classification

KW - mitral valve surgery

KW - transcatheter mitral valve replacement

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Diagnosis, Classification, and Management Strategies for Mitral Annular Calcification: A Heart Valve Collaboratory Position Statement

Abstract

Keywords

ASJC Scopus subject areas

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