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

Research output: Contribution to journalReview articlepeer-review

3 Scopus citations

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 languageEnglish
Pages (from-to)2195-2210
Number of pages16
JournalJACC: Cardiovascular Interventions
Volume16
Issue number18
DOIs
StatePublished - Sep 25 2023

Keywords

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

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