Mitral heart

Case contributed by Dr Ian Bickle


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

Patient Data

Age: 80 years
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 subcarinal 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 the enlarged left atrium

How to use cases

You can use Radiopaedia cases in a variety of ways to help you learn and teach.

Creating your own cases is easy.

Updating… Please wait.

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

 Thank you for updating your details.