Management of Patients With Severe Mitral Annular Calcification: JACC State-of-the-Art Review

Omar Chehab; Ross Roberts-Thomson; Antonio Bivona; Harminder Gill; Tiffany Patterson; Amit Pursnani; Karine Grigoryan; Bernardo Vargas; Ujala Bokhary; Christopher Blauth; Gianluca Lucchese; Vinayak Bapat; Mayra Guerrero; Simon Redwood; Bernard Prendergast; Ronak Rajani

doi:10.1016/j.jacc.2022.06.009

Management of Patients With Severe Mitral Annular Calcification: JACC State-of-the-Art Review

Omar Chehab, Ross Roberts-Thomson, Antonio Bivona, Harminder Gill, Tiffany Patterson, Amit Pursnani, Karine Grigoryan, Bernardo Vargas, Ujala Bokhary, Christopher Blauth, Gianluca Lucchese, Vinayak Bapat, Mayra Guerrero, Simon Redwood, Bernard Prendergast, Ronak Rajani

Cardiovascular Medicine

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

Abstract

Mitral annular calcification (MAC) is a common and challenging pathologic condition, especially in the context of an aging society. Surgical mitral valve intervention in patients with MAC is difficult, with varying approaches to the calcified annular anatomy, and the advent of transcatheter valve interventions has provided additional treatment options. Advanced imaging provides the foundation for heart team discussions and management decisions concerning individual patients. This review focuses on the prognosis of, preoperative planning for, and management strategies for patients with MAC.

Original language	English (US)
Pages (from-to)	722-738
Number of pages	17
Journal	Journal of the American College of Cardiology
Volume	80
Issue number	7
DOIs	https://doi.org/10.1016/j.jacc.2022.06.009
State	Published - Aug 16 2022

Keywords

mitral annular calcification
mitral valve
surgery
valve-in-MAC

ASJC Scopus subject areas

Cardiology and Cardiovascular Medicine

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10.1016/j.jacc.2022.06.009

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Chehab, O., Roberts-Thomson, R., Bivona, A., Gill, H., Patterson, T., Pursnani, A., Grigoryan, K., Vargas, B., Bokhary, U., Blauth, C., Lucchese, G., Bapat, V., Guerrero, M., Redwood, S., Prendergast, B., & Rajani, R. (2022). Management of Patients With Severe Mitral Annular Calcification: JACC State-of-the-Art Review. Journal of the American College of Cardiology, 80(7), 722-738. https://doi.org/10.1016/j.jacc.2022.06.009

Chehab, O, Roberts-Thomson, R, Bivona, A, Gill, H, Patterson, T, Pursnani, A, Grigoryan, K, Vargas, B, Bokhary, U, Blauth, C, Lucchese, G, Bapat, V, Guerrero, M, Redwood, S, Prendergast, B & Rajani, R 2022, 'Management of Patients With Severe Mitral Annular Calcification: JACC State-of-the-Art Review', Journal of the American College of Cardiology, vol. 80, no. 7, pp. 722-738. https://doi.org/10.1016/j.jacc.2022.06.009

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abstract = "Mitral annular calcification (MAC) is a common and challenging pathologic condition, especially in the context of an aging society. Surgical mitral valve intervention in patients with MAC is difficult, with varying approaches to the calcified annular anatomy, and the advent of transcatheter valve interventions has provided additional treatment options. Advanced imaging provides the foundation for heart team discussions and management decisions concerning individual patients. This review focuses on the prognosis of, preoperative planning for, and management strategies for patients with MAC.",

keywords = "mitral annular calcification, mitral valve, surgery, valve-in-MAC",

author = "Omar Chehab and Ross Roberts-Thomson and Antonio Bivona and Harminder Gill and Tiffany Patterson and Amit Pursnani and Karine Grigoryan and Bernardo Vargas and Ujala Bokhary and Christopher Blauth and Gianluca Lucchese and Vinayak Bapat and Mayra Guerrero and Simon Redwood and Bernard Prendergast and Ronak Rajani",

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doi = "10.1016/j.jacc.2022.06.009",

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AU - Chehab, Omar

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AU - Bivona, Antonio

AU - Gill, Harminder

AU - Patterson, Tiffany

AU - Pursnani, Amit

AU - Grigoryan, Karine

AU - Vargas, Bernardo

AU - Bokhary, Ujala

AU - Blauth, Christopher

AU - Lucchese, Gianluca

AU - Bapat, Vinayak

AU - Guerrero, Mayra

AU - Redwood, Simon

AU - Prendergast, Bernard

AU - Rajani, Ronak

PY - 2022/8/16

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N2 - Mitral annular calcification (MAC) is a common and challenging pathologic condition, especially in the context of an aging society. Surgical mitral valve intervention in patients with MAC is difficult, with varying approaches to the calcified annular anatomy, and the advent of transcatheter valve interventions has provided additional treatment options. Advanced imaging provides the foundation for heart team discussions and management decisions concerning individual patients. This review focuses on the prognosis of, preoperative planning for, and management strategies for patients with MAC.

AB - Mitral annular calcification (MAC) is a common and challenging pathologic condition, especially in the context of an aging society. Surgical mitral valve intervention in patients with MAC is difficult, with varying approaches to the calcified annular anatomy, and the advent of transcatheter valve interventions has provided additional treatment options. Advanced imaging provides the foundation for heart team discussions and management decisions concerning individual patients. This review focuses on the prognosis of, preoperative planning for, and management strategies for patients with MAC.

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KW - mitral valve

KW - surgery

KW - valve-in-MAC

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Management of Patients With Severe Mitral Annular Calcification: JACC State-of-the-Art Review

Abstract

Keywords

ASJC Scopus subject areas

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