Author/Authors :
Ceylan, Naim Ege University - Faculty of Medicine - Department of Radiology, Turkey , Bayraktaroğlu, Selen Ege University - Faculty of Medicine - Department of Radiodiagnostics, Turkey , Nalbantgil, Sanem Ege University - Faculty of Medicine - Department of Radiological, Turkey , Savaş, Recep Ege University - Faculty of Medicine - Department of Radiological, İzmir , Alper, Hüdaver Ege University - Faculty of Medicine - Department of Radiological, Turkey
Abstract :
A 60-year-old woman was admitted to our hospital with symptoms including shortness of breath and leg swelling. She had a history of rheu- matic heart disease and had undergone valve replacement for severe mitral stenosis in 1977. She had a re-operation in 1999 with insertion of a mechanical prosthesis. On her physical examination, heart sounds were accentuated due to mechanical valve. Systolic murmur was present on 4th intercostal space at the left sternal border. Ascitis and leg edema were present. Atrial fibrillation was noted on electrocardiogram. A normal functioning mechanical prosthetic valve on mitral position was noted on echocardiography. Right ventricle and both atrias were enlarged. Severe tricuspid regurgitation was present. Mal-coaptation of the tricuspid valve leaflets was noted. Postero-anterior chest radiography revealed gross cardiomegaly and compressive atelectasis in the right lung (Fig. 1).
