Quadruple Prosthetic Heart Valves
[...]. Quadruple Prosthetic Heart Valves. CTICases. Published October 1, 2021. https://cticases.com/c/f83gq
Imaging findings
Chest radiograph and CT show four separate prosthetic heart valves (aortic, mitral, tricuspid, and pulmonic prostheses) in place, demonstrating their characteristic relative anatomical positions on a single exam.
Key takeaways
Replacing all four heart valves is an extremely rare surgical achievement, typically performed for rheumatic heart disease or multi-valvular endocarditis. The radiographic positioning of the valves (pulmonic most superior/anterior, tricuspid inferior/right, aortic central, mitral posterior/inferior) is a classic anatomical landmark teaching case.
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