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Sudden Death in a Patient with Severe Mitral Annular Calcification and End-stage Renal Disease During Hemodialysis by Jingjun Xing; Ke Wang; Hua Wei; Wenwen Jiang; Dengming Wei is a scholarly article available to read on EtoBox.

What is Sudden Death in a Patient with Severe Mitral Annular Calcification and End-stage Renal Disease During Hemodialysis about?

## Abstract ## Rationale: Mitral annular calcification (MAC) is a chronic, degenerative cardiac condition. Although MAC is often considered as an incidental finding in clinical and forensic practice, sudden death due to severe MAC with end-stage renal disease (ESRD) during hemodialysis is uncommon. In addition, spontaneous subepicardial hematoma due to rupture of the subepicardial vein is very rare. ## Patient concerns: A 65-year-old woman had a history of hypertension, diabetes mellitus, and renal failure. ## Diagnoses: Postmortem examination revealed marked MAC with cardiomegaly and ESRD. Spontaneous subepicardial hematoma due to disruption of subepicardial vein was also seen. ## Interventions and outcomes: The patient became short of breath while on hemodialysis and expired en route to the hospital. ## Lessons: In this case, death was attributed to the effects of the calcified mitral valve annulus. This case highlights that MAC must be considered in any patient with ESRD and fatal cardiovascular events should not be overlooked in these patients.

Author

Jingjun Xing; Ke Wang; Hua Wei; Wenwen Jiang; Dengming Wei

Publisher

Lippincott Williams and Wilkins; Elsevier ; Ovid Technologies (Wolters Kluwer) - Lippincott Williams & Wilkins; Elsevier BV; Lippincott Williams & Wilkins Ltd.; Medicine Publishing Company Ltd; Williams & Wilkins; Ovid Technologies (Wolters Kluwer Health) (ISSN 1357-3039)

Published

2018

Language

EN