• Images in cardiology

A 20 year old man presented with dyspnoea on exertion class III. Clinically he was diagnosed to have severe mitral regurgitation, possibly caused by rheumatic heart disease. The x ray revealed cardiomegaly with left atrial enlargement, and pulmonary venous and arterial hypertension. The ECG suggested left atrial overload with left ventricular hypertrophy.

He underwent transthoracic two dimensional echocardiography with colour Doppler study which revealed multilobulated cystic spaces in the left atrial cavity, with colour …