Mitral stenosis

Case contributed by Dr Aditya Shetty


Dyspnoea and palpitations; diastolic murmur; past history of rheumatic fever.

Patient Data

Age: 40
Gender: Male

X ray findings:

  • enlarged cardiac shadow
  • straightening of left heart border
  • double right heart border
  • splaying of carinal angle

Case Discussion

Case of mitral stenosis due to rheumatic heart disease

  • normal area of mitral valve is 4-6 cm2
  • area less than 2 cm2 is considered stenotic
  • X-ray findings are noted at area less than 1 cm2
  • left atrial enlargement causes double right heart border
  • straightened left heart border is formed by (from superior to inferior):
  1. aortic knuckle, 
  2. prominent left pulmonary conus (due to pulmonary hypertension)
  3. concave left atrial appendage (normally convex) and 
  4. left ventricle shadow

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Case information

rID: 28193
Case created: 14th Mar 2014
Last edited: 13th Feb 2017
System: Chest
Tag: shetty
Inclusion in quiz mode: Included

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