Massive mitral valve calcification: Figure 1:

A 78-year old male patient was referred because of progressive dyspnoea. A diastolic murmur was detected and echocardiography showed two intracardiac masses (Fig. 1A). A computed tomography scan confirmed massive calcification of the entire mitral valve (Fig. 1B and D). Associated with valve degenerative processes, mitral valve calcification implies challenging valve replacement procedures and recurrent prosthesis desinsertion.