Mitral heart

Case contributed by Henry Knipe
Diagnosis almost certain

Presentation

Follow-up from clinic.

Patient Data

Age: 16 years
Gender: Female
x-ray

Cardiomegaly with double right heart border. Prominent left atrial appendage and pulmonary outflow silhouettes. Splayed carina. 

Conclusion:

Findings in keeping with mitral valve disease. 

Case Discussion

This patient had a history of mitral stenosis complicated by pulmonary arterial hypertension. The findings are typical for a "mitral heart". 

Case with thanks to Professor Oliver Hennessy. 

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