Health Dictionary
Reliable, easy-to-read patient information on common medical conditions ā written in plain language, free of jargon, and grounded in current evidence. Browse the most frequent diagnoses, understand what they mean for everyday life, and learn which steps and questions help you have a focused conversation with your doctor.
Mitral regurgitation chest x-ray
Introduction
Overview
Overview
The chest X-ray in individuals with chronic mitral regurgitation (MR) is characterized by the presence of an enlargement of the left atrium and the left ventricle. In acute MR, pulmonary edema is present and the heart is not enlarged.
Chest X Ray
Chest X Ray
- In acute MR, chest X-ray reveals pulmonary edema caused by pulmonary congestion secondary to the abrupt rise in pressure in the left atrium. There is no enlargement of the cardiac silhouette in acute MR.[1]
- In chronic MR, the pulmonary vascular markings are typically normal since the pulmonary venous pressures are usually not significantly elevated. The left side of the heart might be enlarged. The left main bronchus can be pushed up by an enlarged left atrium.
- Calcification of the mitral annulus is not infrequent, and is seen in up to 35% of elderly patients on echocardiography which is more sensitive than chest X-ray. It typically begins around the margins of the posterior leaflet forming a āCā, eventually the āCā closes forming an āOā with anterior leaflet involvement. [3])
Calcification of the mitral annulus
References
References
- ā Mitral regurgitation https://radiopaedia.org/articles/mitral-valve-regurgitation (2016) Accessed on December 13, 2016
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor(s)-in-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.