Mitral heart

Case contributed by Dr Ian Bickle


Rheumatic fever as a child. Known mitral stenosis. Short of breath.

Patient Data

Age: 81
Gender: Female

Even allowing from projection the heart is enlarged.

Double right heart border, due to enlargement of the left atrium.

Prominent left atrial appendage.

Severe splaying of the subacarinal angle (150 degrees).

Case Discussion

A 'full house' of signs of a mitral heart:

  1. Cardiomegaly
  2. Double right heart border - due to enlargement of the left atrium.
  3. Prominent left atrial appendage.
  4. Severe splaying of the subcarinal angle (150 degrees) - due to compression from enlarged left atrium.
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Case information

rID: 46087
Published: 22nd Jun 2016
Last edited: 16th Jul 2018
System: Cardiac, Chest
Inclusion in quiz mode: Included

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