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Rheumatic heart disease with a mitral blood cyst: three-dimensional echocardiographic imaging
  1. Gajendra Dubey,
  2. Anand Shukla,
  3. Tarun Madan
  1. Department of Cardiology, UN Mehta Institute of Cardiology and Research Center, Civil Hospital, Ahmedabad, Gujarat 380016, India
  1. Correspondence to Dr Gajendra Dubey, UN Mehta Institute of Cardiology and Research Center, Civil Hospital, Asarwa, Ahmedabad, Gujarat 380016, India; gajendra.dubey119{at}gmail.com

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A 22-year-old woman presented with a 4-month history of dyspnoea on exertion and palpitations. She was in New York Heart Association class II at presentation. She had no history of fever, joint pains or rash. On examination, she had a grade II pansystolic murmur at the apex and an early diastolic murmur at the aortic area. Laboratory investigations revealed anti-streptolysin O titre of <200 units with normal erythrocyte …

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