Pediatric Rheumatic Heart Disease

  • Etiology: Autoimmune reaction to Streptococcal pharyngitis
  • Imaging CXR:
    — Most commonly causes mitral insufficiency and mitral stenosis which leads to left atrial enlargement
    — Aortic insufficiency in 20% leads to left ventricle enlargement and post stenotic dilation of ascending aorta
  • DDX:
  • Complications:
  • Treatment:
  • Clinical:

Radiology Cases of Rheumatic Heart Disease

CXR of pulmonary edema due to mitral insufficiency in rheumatic heart disease
CXR AP shows cardiomegaly and bilateral perihilar interstitial infiltrates.