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From the clinical spectrum of myocardial calcification to a cardiovascular imaging perspective

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Abstract

We herein report the case of a 74-year-old man with recurrent transient ischemic attacks and falls who was found to have an unusual large mass of the interventricular septum. After extensive workup, isolated myocardial calcification was confirmed using multimodality cardiovascular imaging. This rare finding might be a reflecting cause of the patient’s clinical presentation.

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Case Report

Myocardial calcifications represent a rare entity of myocardial pathology. They may be classified in two principle forms: dystrophic and metastatic. The former represents the sequelae of local tissue damage like necrosis or degeneration, whereas the latter is the result of abnormal calcium-phosphate homeostasis due to renal failure, primary hyperparathyroidism, vitamin D deficiency and inflammatory processes.1,2 Laboratory tests including serum calcium, phosphate, parathyroid hormone, thyroid

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Informed consent was obtained from the patient prior to publication of this case and associated images.

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