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AUSTRALIAN CRITICAL CARE
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Revealed in chest X-ray are >k6ractnistic features of mitral stenosis - selective enlargepdt of the left atrium, in the PA view, produces a bulgebelow & pulmonary artery on the left border of the heart (arrowed)b and a rounded, dense shadow within or outside the middle part of the right border of the heart (also arrowed).
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A s the venous pressure increases more fluid escapes into the aerivascular tissues and the lvmahatics become dilated. This " causes the appearance of Kerley's B lines, which are not evident on this X-ray. 8
Reference 1. Julian DG, Cowan 8 Campbell J. Cardiology (6th ed). Balliere-Tindall, London, 1992. -.----
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CACCN INC. ATIONAL EXECUTIVE
secre~accn.com.au Assistant Secretmy:
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D W e M&idey Amanda Voss Rosemarp Watts Samantha Quade
Committee
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VOLUME 1 1
NUMBER 3
SEPTEMBER 1998
Marlene Maxwell Ordinary Member
Marie Yearwood