{"id":20395,"date":"2015-11-27T20:18:59","date_gmt":"2015-11-27T14:48:59","guid":{"rendered":"https:\/\/cardiophile.org\/?p=20395"},"modified":"2022-12-17T17:18:15","modified_gmt":"2022-12-17T11:48:15","slug":"third-mogul-sign","status":"publish","type":"post","link":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/","title":{"rendered":"Third mogul sign"},"content":{"rendered":"<h2><iframe loading=\"lazy\" src=\"https:\/\/www.youtube.com\/embed\/iu1W5I8o-v4\" width=\"560\" height=\"315\" frameborder=\"0\" allowfullscreen=\"allowfullscreen\"><\/iframe><\/h2>\n<h2><span style=\"color: #008000;\">Third mogul sign<\/span><\/h2>\n<p>Third mogul sign is the prominent left atrial appendage visible on the left cardiac border below the pulmonary artery shadow on chest X-ray [1] (or a similar shadow due to other causes). It can be seen in cases of severe mitral stenosis. <a href=\"\/professional\/double-atrial-shadow-and-prominent-upper-lobe-vessels\/\">Click here to see an X-ray with third mogul sign.<\/a><\/p>\n<p>Similar bulges due to post mitral valve replacement left ventricular pseudoaneurysms have also been described [2]. Detection of third mogul sign in such cases is of great significance as left ventricular pseudoaneurysms are more prone for rupture than true aneurysms, with potential catastrophic results.<\/p>\n<p>Moguls are projections of snow seen on a ski slope. First mogul on chest X-ray is the aortic knuckle, second mogul the main pulmonary artery, third mogul the left atrial appendage and fourth mogul the left ventricular apex [3]. Masses in the same location can also cause a third mogul [4].<\/p>\n<p><strong><span style=\"color: #0000ff;\">References<\/span><\/strong><\/p>\n<ol>\n<li>Gorospe L, Fern\u00e1ndez-M\u00e9ndez M\u00c1, Ayala-Carbonero AM, Garc\u00eda-Poza J, Gonz\u00e1lez-Gordaliza C. Ortner&#8217;s Syndrome Secondary to a Huge Left Atrium.\u00a0Ann Thorac Surg. 2015 Aug;100(2):732.<\/li>\n<li>Aldridge S, Frazer J, Tawn J, Wilde P. <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pubmed\/3370427\">Left ventricular aneurysm formation: an iatrogenic cause for the third mogul<\/a>.\u00a0Br J Radiol. 1988 Jun;61(726):463-8.<\/li>\n<li>Segen JC. Mogul sign.\u00a0The Dictionary of Modern Medicine.<\/li>\n<li><span style=\"line-height: 1.5;\">A. Arango, A. Mart\u00ednez de Alegr\u00eda, M. C. Ageitos Casais, I. Couto Rodriguez, G. Tirapu de Sagrario, I. Sanz Falque, M. V. Trujillo Ariza, A. Banguero Gutierrez, A. Coessens. Azygos vein and Azygos lobe: Anatomy, variants and pathology.\u00a0Congress: ECR 2013.\u00a0Poster No.: C-1212.<\/span><\/li>\n<\/ol>\n","protected":false},"excerpt":{"rendered":"<p>Third mogul sign is the prominent left atrial appendage visible on the left cardiac border below the pulmonary artery shadow on chest X-ray  or a similar shadow due to other causes.<\/p>\n","protected":false},"author":1,"featured_media":40009,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"nf_dc_page":"","footnotes":""},"categories":[4],"tags":[],"class_list":["post-20395","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-cardiology-x-ray"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v27.9 - https:\/\/yoast.com\/product\/yoast-seo-wordpress\/ -->\n<title>Third mogul sign: prominent left atrial appendage on left cardiac border<\/title>\n<meta name=\"description\" content=\"Third mogul sign is the prominent left atrial appendage visible on the left cardiac border below the pulmonary artery shadow on chest X-ray.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"Third mogul sign: prominent left atrial appendage on left cardiac border\" \/>\n<meta property=\"og:description\" content=\"Third mogul sign is the prominent left atrial appendage visible on the left cardiac border below the pulmonary artery shadow on chest X-ray.\" \/>\n<meta property=\"og:url\" content=\"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/\" \/>\n<meta property=\"og:site_name\" content=\"All About Cardiovascular System and Disorders\" \/>\n<meta property=\"article:published_time\" content=\"2015-11-27T14:48:59+00:00\" \/>\n<meta property=\"article:modified_time\" content=\"2022-12-17T11:48:15+00:00\" \/>\n<meta name=\"author\" content=\"Johnson Francis\" \/>\n<meta name=\"twitter:card\" content=\"summary_large_image\" \/>\n<meta name=\"twitter:label1\" content=\"Written by\" \/>\n\t<meta name=\"twitter:data1\" content=\"Johnson Francis\" \/>\n\t<meta name=\"twitter:label2\" content=\"Est. reading time\" \/>\n\t<meta name=\"twitter:data2\" content=\"1 minute\" \/>\n<script type=\"application\/ld+json\" class=\"yoast-schema-graph\">{\"@context\":\"https:\\\/\\\/schema.org\",\"@graph\":[{\"@type\":\"Article\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/#article\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/\"},\"author\":{\"name\":\"Johnson Francis\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"headline\":\"Third mogul sign\",\"datePublished\":\"2015-11-27T14:48:59+00:00\",\"dateModified\":\"2022-12-17T11:48:15+00:00\",\"mainEntityOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/\"},\"wordCount\":255,\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"articleSection\":[\"Cardiology X-ray\"],\"inLanguage\":\"en-US\"},{\"@type\":\"WebPage\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/\",\"name\":\"Third mogul sign: prominent left atrial appendage on left cardiac border\",\"isPartOf\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\"},\"primaryImageOfPage\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/#primaryimage\"},\"image\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/#primaryimage\"},\"thumbnailUrl\":\"\",\"datePublished\":\"2015-11-27T14:48:59+00:00\",\"dateModified\":\"2022-12-17T11:48:15+00:00\",\"description\":\"Third mogul sign is the prominent left atrial appendage visible on the left cardiac border below the pulmonary artery shadow on chest X-ray.\",\"breadcrumb\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/#breadcrumb\"},\"inLanguage\":\"en-US\",\"potentialAction\":[{\"@type\":\"ReadAction\",\"target\":[\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/\"]}]},{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/#primaryimage\",\"url\":\"\",\"contentUrl\":\"\"},{\"@type\":\"BreadcrumbList\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/third-mogul-sign\\\/#breadcrumb\",\"itemListElement\":[{\"@type\":\"ListItem\",\"position\":1,\"name\":\"Home\",\"item\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\"},{\"@type\":\"ListItem\",\"position\":2,\"name\":\"Third mogul sign\"}]},{\"@type\":\"WebSite\",\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#website\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/\",\"name\":\"All About Cardiovascular System and Disorders\",\"description\":\"\",\"publisher\":{\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\"},\"potentialAction\":[{\"@type\":\"SearchAction\",\"target\":{\"@type\":\"EntryPoint\",\"urlTemplate\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/?s={search_term_string}\"},\"query-input\":{\"@type\":\"PropertyValueSpecification\",\"valueRequired\":true,\"valueName\":\"search_term_string\"}}],\"inLanguage\":\"en-US\"},{\"@type\":[\"Person\",\"Organization\"],\"@id\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/#\\\/schema\\\/person\\\/5441d907049b914770f4bd98fb57feec\",\"name\":\"Johnson Francis\",\"image\":{\"@type\":\"ImageObject\",\"inLanguage\":\"en-US\",\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"url\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"contentUrl\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\",\"caption\":\"Johnson Francis\"},\"logo\":{\"@id\":\"https:\\\/\\\/secure.gravatar.com\\\/avatar\\\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g\"},\"description\":\"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal\",\"url\":\"https:\\\/\\\/johnsonfrancis.org\\\/professional\\\/author\\\/jf\\\/\"}]}<\/script>\n<!-- \/ Yoast SEO plugin. -->","yoast_head_json":{"title":"Third mogul sign: prominent left atrial appendage on left cardiac border","description":"Third mogul sign is the prominent left atrial appendage visible on the left cardiac border below the pulmonary artery shadow on chest X-ray.","robots":{"index":"index","follow":"follow","max-snippet":"max-snippet:-1","max-image-preview":"max-image-preview:large","max-video-preview":"max-video-preview:-1"},"canonical":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/","og_locale":"en_US","og_type":"article","og_title":"Third mogul sign: prominent left atrial appendage on left cardiac border","og_description":"Third mogul sign is the prominent left atrial appendage visible on the left cardiac border below the pulmonary artery shadow on chest X-ray.","og_url":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/","og_site_name":"All About Cardiovascular System and Disorders","article_published_time":"2015-11-27T14:48:59+00:00","article_modified_time":"2022-12-17T11:48:15+00:00","author":"Johnson Francis","twitter_card":"summary_large_image","twitter_misc":{"Written by":"Johnson Francis","Est. reading time":"1 minute"},"schema":{"@context":"https:\/\/schema.org","@graph":[{"@type":"Article","@id":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/#article","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/"},"author":{"name":"Johnson Francis","@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"headline":"Third mogul sign","datePublished":"2015-11-27T14:48:59+00:00","dateModified":"2022-12-17T11:48:15+00:00","mainEntityOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/"},"wordCount":255,"publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/#primaryimage"},"thumbnailUrl":"","articleSection":["Cardiology X-ray"],"inLanguage":"en-US"},{"@type":"WebPage","@id":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/","url":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/","name":"Third mogul sign: prominent left atrial appendage on left cardiac border","isPartOf":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#website"},"primaryImageOfPage":{"@id":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/#primaryimage"},"image":{"@id":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/#primaryimage"},"thumbnailUrl":"","datePublished":"2015-11-27T14:48:59+00:00","dateModified":"2022-12-17T11:48:15+00:00","description":"Third mogul sign is the prominent left atrial appendage visible on the left cardiac border below the pulmonary artery shadow on chest X-ray.","breadcrumb":{"@id":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/#breadcrumb"},"inLanguage":"en-US","potentialAction":[{"@type":"ReadAction","target":["https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/"]}]},{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/#primaryimage","url":"","contentUrl":""},{"@type":"BreadcrumbList","@id":"https:\/\/johnsonfrancis.org\/professional\/third-mogul-sign\/#breadcrumb","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https:\/\/johnsonfrancis.org\/professional\/"},{"@type":"ListItem","position":2,"name":"Third mogul sign"}]},{"@type":"WebSite","@id":"https:\/\/johnsonfrancis.org\/professional\/#website","url":"https:\/\/johnsonfrancis.org\/professional\/","name":"All About Cardiovascular System and Disorders","description":"","publisher":{"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec"},"potentialAction":[{"@type":"SearchAction","target":{"@type":"EntryPoint","urlTemplate":"https:\/\/johnsonfrancis.org\/professional\/?s={search_term_string}"},"query-input":{"@type":"PropertyValueSpecification","valueRequired":true,"valueName":"search_term_string"}}],"inLanguage":"en-US"},{"@type":["Person","Organization"],"@id":"https:\/\/johnsonfrancis.org\/professional\/#\/schema\/person\/5441d907049b914770f4bd98fb57feec","name":"Johnson Francis","image":{"@type":"ImageObject","inLanguage":"en-US","@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","url":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","contentUrl":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g","caption":"Johnson Francis"},"logo":{"@id":"https:\/\/secure.gravatar.com\/avatar\/80861b82c3f559be9e413245c5643b6c483c93495507facfe32cf96ccd8bcffd?s=96&d=mm&r=g"},"description":"Former Professor of Cardiology, Calicut Govt. Medical Kozhikode, Kerala, India. Editor-in-Chief, BMH Medical Journal","url":"https:\/\/johnsonfrancis.org\/professional\/author\/jf\/"}]}},"amp_enabled":true,"_links":{"self":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/20395","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/comments?post=20395"}],"version-history":[{"count":1,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/20395\/revisions"}],"predecessor-version":[{"id":57596,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/posts\/20395\/revisions\/57596"}],"wp:attachment":[{"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/media?parent=20395"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/categories?post=20395"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/johnsonfrancis.org\/professional\/wp-json\/wp\/v2\/tags?post=20395"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}