Cardiac calcified amorphous tumor originating from the aortic valve: A rare case report

A 74-year-old female complained of chest tightness for >10 years. Out-patient transthoracic echocardiography (TTE) revealed a hyper-echogenic mass at the aortic root and mild tricuspid valve regurgitation. TTE was performed again which showed details of the mass: an approximate 15×10 mm irregular and lobulated mass above the non-coronary cusp without interfering with the aortic valve (Fig. 1a, 1b). Preoperative cardiac magnetic resonance imaging (MRI) and contrast-computed tomography (CT) both identified the signal of the soft tissue in the non-coronary sinus (Fig. 1c-1f, arrows). Surgical removal of the tumor with or without aortic replacement was agreed by patient and medical team.