Open AccessMalignant Rheumatic Heart Disease Presenting as Quadrivalvular Stenosis
Author(s) -
Santosh Kumar Sinha,
Ramesh Thakur,
Vinay Krishna,
C. M. Varma,
Amit Goel,
Mukesh Jitendra Jha,
Ashutosh Kumar,
Vikas Mishra,
Pradyot Tiwari,
Rupesh Sinha
Publication year - 2015
Publication title -
cardiology research
Language(s) - English
Resource type - Journals
eISSN - 1923-2837
pISSN - 1923-2829
DOI - 10.14740/cr437w
Subject(s) - medicine , cardiology , stenosis , atrial fibrillation , pulmonary hypertension , heart failure , rheumatic fever , heart disease
Rheumatic disease may involve the pulmonary valve, but is exceedingly rare. Simultaneous involvement of all four valves is more likely to be the result of combination of causes, such as congenital, rheumatic, infective or degenerative disease. A unitary cause for quadrivalvular involvement would be either rheumatic or myxomatous degeneration. A 16-year-old young boy presented with progressive exertional dyspnea for the past 3 years. On evaluation, he was in atrial fibrillation with congestive heart failure. On examination, evidence of stenosis of the mitral, aortic and tricuspid valves with a history of rheumatic fever in childhood was revealed. Transthoracic echocardiography showed the quadrivalvular involvement. Only few reports are available in the literature describing rheumatic quadrivalvar damage and that too in third and fourth decade. This is probably first to be reported in juvenile age group.