Radiological Bronchopulmonary Manifestations of Mitral Valve Disease (MVD) in 225 cases.

Abstract

Mitral valve disease is the most common aftermath of rheumatic heart disease prevalent in this part of World (1). Mitral valve disease is responsible for significant morbidity requiring emergency room admission and hospitalization. Apart from clinical assessment, Simple chest x-ray is often helpful in the diagnosis of mitral valve disease. Chest X Ray is readily available in most centers. It is important to recognize common radiological features of mitral valve disease. This study is designed to find the prevalence of various Parenchymal abnormalities in chest X-Ray in patients presenting with mitral valve disease confirmed on echocardiography. Chest X Ray of 225 echocardiographically confirmed patients of mitral valve disease presenting in out patients department and emergency room of this Institute ‘were reviewed. The pattern of parenchymal findings in the chest X-Ray was studied in all patients. A male to female ratio of 1:1.6 was observed. Pulmonary vascular cephalization was most common abnormality. It was seen in 90 % patients (203/225). Pulmonary edema of different grades was found in 79 % patients (178/225), Splaying of main stem bronchi was seen in 67.5 % (152/225). Other occasional findings in patients with MVD were Pulmonary hemosiderosis (10%), alveolar hemorrhages (7.5%), pulmonary ossification 5.7%) and segmental collapse of right lower lobe (4.0%). Bronchopulmonary radiological changes are often seen in patients with mitral valve disease. Recognition of these abnormalities can  Facilitate the diagnosis of MVD.