Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging (Jan 2019)

Quadrivalvular rheumatic heart disease

  • Deepak Ramchand Nenwani,
  • Gnanavelu Ganesan,
  • S Venkatesan,
  • S Saravana Babu

DOI
https://doi.org/10.4103/jiae.jiae_45_18
Journal volume & issue
Vol. 3, no. 2
pp. 97 – 98

Abstract

Read online

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.

Keywords