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Year : 2019  |  Volume : 3  |  Issue : 2  |  Page : 97-98

Quadrivalvular rheumatic heart disease

Department of Cardiology, MMC, Chennai, Tamil Nadu, India

Correspondence Address:
Deepak Ramchand Nenwani
Room No. 115, MMC Men's Hostel, Near Broadway Bus Stand, Opposite to Tamil Nadu Public Service Commission Office, Chennai - 600 003, Tamil Nadu
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Source of Support: None, Conflict of Interest: None

DOI: 10.4103/jiae.jiae_45_18

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Rarely, rheumatic heart disease (RHD) involves all the four valves and causes could be rheumatic, congenital, infective, or degenerative. Here, we report a case of a 42-year-old female known case RHD for 30 years and underwent closed mitral commissurotomy 25 years back presented with progressive exertional dyspnea for the past 1 year. On clinical examination, she was in atrial fibrillation with evidence of the involvement of the mitral, aortic, and tricuspid valves. Transthoracic echocardiography showed the quadrivalvular involvement including pulmonary valves. Only few case reports are available describing rheumatic quadrivalvular damage.

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