J Cardiovasc Ultrasound.
2012 Dec;20(4):193-196. 10.4250/jcu.2012.20.4.193.
Porcelain Heart: Rapid Progression of Cardiac Calcification in a Patient with Hemodialysis
- Affiliations
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- 1Division of Cardiology, Department of Internal Medicine, Pohang St. Mary's Hospital, Pohang, Korea.
- 2Division of Cardiology, Department of Internal Medicine, Seoul St. Mary's Hospital, School of Medicine, The Catholic University of Korea, Seoul, Korea. younhj@catholic.ac.kr
- 3Department of Radiology, Pohang St. Mary's Hospital, Pohang, Korea.
- 4Division of Cardiology, Department of Internal Medicine, Uijeongbu St. Mary's Hospital, School of Medicine, The Catholic University of Korea, Uijeongbu, Korea.
- KMID: 2177407
- DOI: http://doi.org/10.4250/jcu.2012.20.4.193
Abstract
- Cardiac calcification usually occurs in patients with end-stage renal disease. However, rapid progression of cardiac calcification is rarely associated with secondary hyperparathyroidism of end-stage renal disease. We report a patient with end-stage renal disease who showed moderate left ventricular hypertrophy at the first echocardiography, and showed severe myocardial calcification and severe mitral valve stenosis 4 years later. We suspected a rapid progression 'porcelain heart' cardiomyopathy secondary to hyperparathyroidism of end-stage renal disease. The patient underwent parathyroidectomy, and considered mitral valve replacement.
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