Cardiomyopathy from prior rheumatic carditis
Citation, DOI & case data
Presents to ER with shortness of breath worsening over the last few months.
Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.
Loading Stack -
0 images remaining
Enlarged left atrium with carinal widening. The right atrium is enlarged due to tricuspid valve regurgitation. Pericardial calcification is seen at the margin of the enlarged left atrium. Note the prosthetic mitral valve and sternal sutures. Azygos fissure draining to an enlarged azygos vein is noted. Main pulmonary artery enlargement is seen. Dilatation of SVC and azygos vein is due to right heart failure. The patient is a candidate for tricuspid valve replacement.
Past history of mitral valve replacement due to rheumatic carditis in childhood.
- 1. Kaplan EL. The carditis/cardiomyopathy of rheumatic fever: relationship to pathogenesis. Postgrad Med J. 1992;68 Suppl 1 : S21-3. - Pubmed citation
- 2. Narula J, Chandrasekhar Y, Rahimtoola S. Diagnosis of active rheumatic carditis. The echoes of change. Circulation. 1999;100 (14): 1576-81. Circulation (link) - Pubmed citation
- 3. Abernethy M, Bass N, Sharpe N et-al. Doppler echocardiography and the early diagnosis of carditis in acute rheumatic fever. Aust N Z J Med. 1994;24 (5): 530-5. - Pubmed citation