CTICasesQuadruple Prosthetic Heart Valves
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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