Cardiomyopathy from prior rheumatic carditis

Case contributed by Dr Bita Abbasi

Presentation

Presents to ER with shortness of breath worsening over the last few months.

Patient Data

Age: 35 years
Gender: Male

Note: This case has been tagged as "legacy" as it no longer meets image preparation and/or other case publication guidelines.

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.

Case Discussion

Past history of mitral valve replacement due to rheumatic carditis in childhood. 

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