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J Cardiovasc Ultrasound. 2012 Dec;20(4):193-6. doi: 10.4250/jcu.2012.20.4.193. Epub 2012 Dec 31.

Porcelain heart: rapid progression of cardiac calcification in a patient with hemodialysis.

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Division of Cardiology, Department of Internal Medicine, Pohang St. Mary's Hospital, Pohang, Korea.


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.


End stage renal disease; Mitral valve stenosis; Myocardial calcification; Secondary hyperparathyroidism

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