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Mitral Annular Calcification-Reply

C. Richard Schott, MD
Arch Intern Med. 1978;138(6):1023. doi:10.1001/archinte.1978.03630310096036.
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In Reply.—  In response to Dr Fulkerson's comments on the article by my colleagues and me, "Mitral Annular Calcification: Clinical and Echocardiographic Correlations" (Archives 137:1143-1150, 1977), the echocardiographic pattern of mitral annular calcification (MAC) has been described by other authors and has been accepted in the literature and in clinical practice. The recognition of this pattern is important in the echocardiographic evaluation of patients with murmurs and must be carefully distinguished from other similar patterns, including pericardial effusions. The purpose of the communication by my associates and me was to describe our experience with this echocardiographic pattern, along with available clinical and radiographic correlations.Our study was retrospective. It included a review of our echocardiogram files, including a large series of patients with known rheumatic mitral disease and a large series of patients with chronic renal failure. The 32% incidence of rheumatic heart disease with MAC in our series does


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