Mitral Annular Calcification (MAC): An Algorithmic Approach to Diagnosis and Treatment

Mitral Annular Calcification (MAC): An Algorithmic Approach to Diagnosis and Treatment

Mitral Annular Calcification (MAC) is a complex and increasingly common syndrome. In this discussion we review Mount Sinai’s proven algorithm for determining the best treatment for MAC, as well as imaging and intraoperative videos that highlight:

  • The incidence and etiology of MAC, especially for those at high risk: the elderly, patients with CKD, women, and patients with Barlow’s mitral valve disease
  • The critical role of CT imaging to quantify the extent of mitral annular and valvular calcification, and its location in the annulus, leaflets or ventricles
  • Key surgical considerations, including:
    • Periannular suture technique
    • Management of the anterior mitral valve leaflet to reduce the risk of left ventricular outflow tract obstruction
    • Proper selection of mitral valve prostheses
  • Why referring patients with complex mitral disease to designated mitral valve reference centers improves clinical outcomes

To refer a patient, please call the cardiovascular surgery referral line at 212-659-6800, thank you.


Published

January 23, 2024

Created by

Physician's Channel - Mount Sinai New York

Featured Faculty

Ahmed El-Eshamawi, MD

Ahmed El-Eshamawi, MD

Clinical Director, Mitral Valve Repair Reference Center
The Mount Sinai Hospital
Associate Professor, Department of Cardiovascular Surgery
Icahn School of Medicine at Mount Sinai

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Randolph P. Martin, MD

Randolph P. Martin, MD

Clinical Professor, Department of Cardiovascular Surgery
Icahn School of Medicine at Mount Sinai