CTICasesRheumatic Heart Disease
Imaging findings
Echocardiogram and cardiac CT demonstrate mitral valve thickening, restriction of the posterior leaflet, and severe shortening of the chordae tendineae and papillary muscles. The aortic valve also demonstrates stenosis and regurgitant flow.
Key takeaways
Rheumatic heart disease is a chronic autoimmune condition following rheumatic fever, characterized by valvular scarring. The mitral valve is most commonly affected, showing pathognomonic shortening and fusion of the chordae tendineae and papillary muscles, leading to mitral stenosis and regurgitation.
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