Left atrial enlargement (due to mitral valve regurgitation)

Case contributed by Dr Vincent Tatco

Presentation

Known case of rheumatic heart disease with shortness of breath.

Patient Data

Age: 20
Gender: Female

There is cardiomegaly with dilated left atrium and left ventricle.

The upper lung zone vasculature is prominent suggestive of pulmonary venous hypertension.

 

Annotated image demonstrating the double density sign of left atrial enlargement

Annotated lateral radiograph shows the markedly dilated left atrium displacing the left main bronchus posteriorly resulting to the "walking man" sign.

Case Discussion

This case demonstrates the radiographic features of chronic mitral valve regurgitation of a patient with rheumatic heart disease.  The valve pathology was confirmed on echocardiography.

PlayAdd to Share

Case information

rID: 43190
Case created: 27th Feb 2016
Last edited: 17th Feb 2017
Systems: Chest, Cardiac
Inclusion in quiz mode: Included

Updating… Please wait.
Loadinganimation

Alert accept

Error Unable to process the form. Check for errors and try again.

Alert accept Thank you for updating your details.