A note on Rheumatic Mitral and Tricuspid valves disease interaction

A note on Rheumatic Mitral and Tricuspid valves disease interaction

Although the mitral valve is conventionally considered the valve most commonly affected by rheumatic fever, any heart valve can be affected.

The correction of the rheumatic mitral valve in later years is the norm. If the tricuspid valve develops severe tricuspid stenosis, percutaneous balloon valvotomy is an option besides surgical correction.

It is underappreciated that patients with rheumatic mitral valve pathology frequently have affected tricuspid valve. And, it tends to progress after mitral valve repair/replacement. These patients should be strongly considered for dual valve surgery.

#cardiology

#surgical-critical-care

References:

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2. Kumar N, Rasheed K, Gallo R, Al-Halees Z, Duran CM. Rheumatic involvement of all four heart valves--preoperative echocardiographic diagnosis and successful surgical management. Eur J Cardiothorac Surg. 1995;9(12):713-4. doi: 10.1016/s1010-7940(05)80133-2. PMID: 8703495.

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