My final diagnosis shows mitral annular calcification with concentric LVH and RWMA in the LCX territory. There's mild LV dysfunction with an LVEF of 49%, trivial MR, and grade 1 diastolic dysfunction. No TR or PE was noted. Do I need surgery for this, or what treatment options should I consider? I'm 65 and a bit worried about the next steps.

Dr Kamran Mohammed

General Practitioner

• MBBS
• FIDM
• 5+ Yrs

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Given your diagnosis of mitral annular calcification, concentric LVH, RWMA in the LCX territory, mild LV dysfunction (LVEF 49%), trivial MR, and grade 1 diastolic dysfunction, you don't necessarily need surgery for the mitral annular calcification itself. The focus should be on managing the LV dysfunction, coronary artery disease (CAD), and potential issues related to the RWMA.

Answered 1 days ago