Presentation
History of previous open-heart surgery and valve replacement and now complaining shortness of breath, poor exercise tolerance and pitting lower limb edema
Patient Data
Age: 50 years
Gender: Male
From the case:
Huge cardiomegaly
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Markedly increased cardio-thoracic ration with flask-shaped heart.
Splaying of the carina indicating atrial enlargement.
Changes related to open-heart surgery with median sternotomy sutures and mitral valve repair with metallic prosthesis.
ECG leads are incidentally seen.
From the case:
Huge cardiomegaly
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- extensive cardiomegaly (cardiothoracic ratio about 95 %) with hugely dilated both atria
- changes related to open-heart surgery (median sternotomy sutures) with mitral valve prosthesis
- markedly dilated IVC with systemic venous congestion, cardiac cirrhosis, and mild ascites
- bilateral lower lung lobes sub-segmental consolidative atelectatic bands
Case Discussion
A known cardiac patient with past history of valvular replacement presented by flask-shaped heart on plain radiography, CT confirmed huge cardiomegaly rather than pericardial effusion.
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