title: Quadrivalvular heart disease.
abstract: A case of chronic rheumatic heart disease with quadrivalvular involvement is presented. Pulmonary valve involvement was diagnosed only at surgery. The rarity of this disorder and problems regarding diagnosis and management are highlighted.
mesh_terms: D000328:Adult; D001024:Aortic Valve Stenosis / Q000175:diagnosis; D002114:Calcinosis / Q000175:diagnosis; D006328:Cardiac Catheterization; D005260:Female; D006333:Heart Failure / Q000175:diagnosis; D006349:Heart Valve Diseases / Q000175:diagnosis* / Q000601:surgery; D006350:Heart Valve Prosthesis; D006801:Humans; D008946:Mitral Valve Stenosis / Q000175:diagnosis; D012214:Rheumatic Heart Disease / Q000175:diagnosis* / Q000601:surgery; D014264:Tricuspid Valve Stenosis / Q000175:diagnosis