Quadrivalvular Involvement in Rheumatic Heart Disease: A Rare Case Report

Four-valve involvement (mitral, aortic, tricuspid, and pulmonary) in rheumatic heart disease (RHD) is an exceedingly rare entity. We report the case of a 24-year-old male, a known case of RHD, who presented with dyspnea and presyncope for 2 months. On examination, the patient had severe mitral steno...

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Main Authors: C M Satvic, Arnab Ghosh Chaudhury, Lachikarathman Devegowda, Prabhavathi Bhat, C N Manjunath
Format: Article
Language:English
Published: Wolters Kluwer Medknow Publications 2022-01-01
Series:Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
Subjects:
Online Access:http://www.jiaecho.org/article.asp?issn=2543-1463;year=2022;volume=6;issue=1;spage=56;epage=58;aulast=Satvic
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author C M Satvic
Arnab Ghosh Chaudhury
Lachikarathman Devegowda
Prabhavathi Bhat
C N Manjunath
author_facet C M Satvic
Arnab Ghosh Chaudhury
Lachikarathman Devegowda
Prabhavathi Bhat
C N Manjunath
author_sort C M Satvic
collection DOAJ
description Four-valve involvement (mitral, aortic, tricuspid, and pulmonary) in rheumatic heart disease (RHD) is an exceedingly rare entity. We report the case of a 24-year-old male, a known case of RHD, who presented with dyspnea and presyncope for 2 months. On examination, the patient had severe mitral stenosis, moderate mitral regurgitation, severe aortic stenosis, severe aortic regurgitation, and severe tricuspid regurgitation. Echocardiography revealed severe tricuspid stenosis with moderate pulmonary stenosis in addition to other clinically detectable valve lesions. The patient underwent aortic and mitral valve replacement, tricuspid valve repair with pulmonary valvotomy successfully.
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spelling doaj.art-8b1a158c744e419ca65497cf44e2488f2022-12-22T00:25:44ZengWolters Kluwer Medknow PublicationsJournal of the Indian Academy of Echocardiography & Cardiovascular Imaging2543-14632543-14712022-01-0161565810.4103/jiae.jiae_56_20Quadrivalvular Involvement in Rheumatic Heart Disease: A Rare Case ReportC M SatvicArnab Ghosh ChaudhuryLachikarathman DevegowdaPrabhavathi BhatC N ManjunathFour-valve involvement (mitral, aortic, tricuspid, and pulmonary) in rheumatic heart disease (RHD) is an exceedingly rare entity. We report the case of a 24-year-old male, a known case of RHD, who presented with dyspnea and presyncope for 2 months. On examination, the patient had severe mitral stenosis, moderate mitral regurgitation, severe aortic stenosis, severe aortic regurgitation, and severe tricuspid regurgitation. Echocardiography revealed severe tricuspid stenosis with moderate pulmonary stenosis in addition to other clinically detectable valve lesions. The patient underwent aortic and mitral valve replacement, tricuspid valve repair with pulmonary valvotomy successfully.http://www.jiaecho.org/article.asp?issn=2543-1463;year=2022;volume=6;issue=1;spage=56;epage=58;aulast=Satvicechocardiographyregurgitationrheumatic heart diseasestenosis
spellingShingle C M Satvic
Arnab Ghosh Chaudhury
Lachikarathman Devegowda
Prabhavathi Bhat
C N Manjunath
Quadrivalvular Involvement in Rheumatic Heart Disease: A Rare Case Report
Journal of the Indian Academy of Echocardiography & Cardiovascular Imaging
echocardiography
regurgitation
rheumatic heart disease
stenosis
title Quadrivalvular Involvement in Rheumatic Heart Disease: A Rare Case Report
title_full Quadrivalvular Involvement in Rheumatic Heart Disease: A Rare Case Report
title_fullStr Quadrivalvular Involvement in Rheumatic Heart Disease: A Rare Case Report
title_full_unstemmed Quadrivalvular Involvement in Rheumatic Heart Disease: A Rare Case Report
title_short Quadrivalvular Involvement in Rheumatic Heart Disease: A Rare Case Report
title_sort quadrivalvular involvement in rheumatic heart disease a rare case report
topic echocardiography
regurgitation
rheumatic heart disease
stenosis
url http://www.jiaecho.org/article.asp?issn=2543-1463;year=2022;volume=6;issue=1;spage=56;epage=58;aulast=Satvic
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AT lachikarathmandevegowda quadrivalvularinvolvementinrheumaticheartdiseaseararecasereport
AT prabhavathibhat quadrivalvularinvolvementinrheumaticheartdiseaseararecasereport
AT cnmanjunath quadrivalvularinvolvementinrheumaticheartdiseaseararecasereport