Mitral heart

Case contributed by Dr Ian Bickle

Presentation

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

Patient Data

Age: 81
Gender: Female
Modality: X-ray

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
Case created: 21st Jun 2016
Last edited: 5th Apr 2017
Systems: Cardiac, Chest
Inclusion in quiz mode: Included

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