Description

A 25-year-old man presented with worsening dyspnoea on exertion of 5 months duration along with two episodes of thromboembolic stroke to the left side of the body over a span of the last 2 months. The patient had a history suggestive of rheumatic heart disease. On cardiac auscultation, a long rumbling mid-diastolic murmur was heard. ECG showed atrial fibrillation. Chest roentgenogram (figure 1A) revealed cardiomegaly with enlarged left atrial appendage (white arrows), splaying of carinal angle (thick black arrows) and double-density sign (black arrows) along the right cardiac border suggesting left atrium (LA; black …