Mitral stenosis

Case contributed by Dr Charlie Chia-Tsong Hsu

Presentation

70 year old male presented with chest heaviness and shortness of breath. ECG showed atrial fibrillation.

Patient Data

Age: 70
Gender: Male
X-ray

Patient has longstanding mitral valve stenosis under review for mitral valve surgery. 

Left atrial enlargement is depicted by  straightening of the left cardiac border (red) and a double right heart border (red).  The remaining cardiac silhouette is outline in yellow (right atrium, right ventricle and left ventricle). Left atrial enlargement can also be appreciated on the lateral projection. 

The cardiac silhouette is only mildly enlarged. Probable increase in pulmonary venous pressure can be inferred by comparing the size of the aorta knuckle with the left pulmonary artery at the aortopulmonary window. There equalization of the upper and lower lobe venous pressure.

Case Discussion

Mitral stenosis.

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Case information

rID: 20121
Published: 4th Nov 2012
Last edited: 14th Aug 2019
System: Cardiac
Inclusion in quiz mode: Included

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