Mitral facies

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Mitral facies – distinctive facial appearance associated with mitral stenosis.

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Mitral facies -Pathology

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Mitral facies- pathology is mitral stenosis.

Mitral facies refers to rosy cheeks- bright circumscribed flush over the malar bones) with a bluish tinge.

Rose colour is because of – dilatation of malar capillaries while the bluish tinge is because of the cyanosis.

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This facies is usually seen in long standing cases of severe mitral stenosis associated with pulmonary hypertension and low cardiac output.

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Rosy cheeks

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Rosy cheeks, whilst the rest of the face has a bluish tinge due to cyanosis.

Seen in severe mitral stenosis.

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Low cardiac output in mitral stenosis

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Low cardiac output in mitral stenosis produces vasoconstriction, peripheral cyanosis is often seen in lips, tip of nose and cheeks.

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Malar flush

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What is Malar Flush?

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Malar flush is a plum-red discolouration of the high cheeks.

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Malar flush is classically associated with which condition?

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Malar flush is classically associated with – Mitral valve stenosis

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What is the pathophysiology of malar flush?

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Malar flush is seen due to – vasodilation leading to vascular stasis in malar area.

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Malar flush is due to the resulting CO2 retention and its vasodilatory effects.

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Malar flush can also be associated with

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Malar flush can also be associated with lupus, polycythemia vera and homocystinuria.

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Mitral facies

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Mitral facies describes a dusky mauve flush (peripheral cyanosis) of the cheeks associated with a low cardiac output.

It is commonly seen in mitral stenosis complicated by pulmonary hypertension.

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