Idiopathic massive myocardial calcification: a case report and review of the literature

Shackley, Brit S.; Nguyen, Thao P.; Shivkumar, Kalyanam; Finn, Paul J.; Fishbein, Michael C.

doi:10.1016/j.carpath.2010.04.004

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Volume 20, Issue 2 , Pages e79-e83, March 2011

Idiopathic massive myocardial calcification: a case report and review of the literature

Brit S. Shackley
- Department of Pathology and Laboratory Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA 90095-1732, USA
- Corresponding author. Department of Pathology and Laboratory Medicine, David Geffen School of Medicine at UCLA, Box 951732, Los Angeles, CA 90095-1732, USA. Tel.: +1 825 5719; fax: +1 310 267 2058.
Thao P. Nguyen
- Division of Cardiology, UCLA David Geffen School of Medicine, Los Angeles, CA 90095-1732, USA
Kalyanam Shivkumar
- Department of Radiology, UCLA David Geffen School of Medicine, Los Angeles, CA 90095-1732, USA
Paul J. Finn
- Department of Radiology, UCLA David Geffen School of Medicine, Los Angeles, CA 90095-1732, USA
Michael C. Fishbein
- Department of Pathology and Laboratory Medicine, UCLA David Geffen School of Medicine, Los Angeles, CA 90095-1732, USA

Received 30 December 2009; received in revised form 6 March 2010; accepted 20 April 2010. published online 05 July 2010.

Abstract

We report a rare case of massive myocardial calcification in a 42-year-old male who presented with symptoms of congestive heart failure and arrhythmia. Myocardial calcification is most commonly associated with myocardial infarction or, less commonly, hypercalcemia. This case is particularly unusual due to the lack of any known predisposing risk factors, including normal coronary arteries, normal renal function, and normal serum calcium levels. Alternative etiologies are discussed accompanied by a review of the literature.

Keywords: Myocardial calcification, Restrictive cardiomyopathy, Idiopathic congestive heart failure