Quadrivalvular heart disease: transition from congenital pulmonary stenosis to rheumatic disease.
The case is reported of a 36-year-old male patient suffering from congenital pulmonary stenosis who previously had undergone pulmonary balloon valvuloplasty. During the past nine years, he had experienced recurrent attacks of rheumatic fever that gradually damaged all four heart valves. The patient underwent aortic, mitral and pulmonary valve replacement with tricuspid valve annuloplasty and pulmonary artery reconstruction. Histologically, all heart valves--including the pulmonary--had similar changes that corresponded to chronic rheumatic disease.
Katz
Michael G
MG
The Sami and Angela Shamoon Department of Cardiothoracic Surgery, The E. Wolfson Medical Center, Holon, Israel.
Schachner
Arie
A
Harpaz
David
D
Kravtsov
Vladimir
V
Rozenman
Yoseph
Y
Sasson
Lior
L
D000328:Adult; D002404:Catheterization; D002908:Chronic Disease; D018450:Disease Progression; D006349:Heart Valve Diseases / Q000473:pathology / Q000601:surgery*; D006801:Humans; D008297:Male; D011666:Pulmonary Valve Stenosis / Q000151:congenital / Q000473:pathology / Q000628:therapy; D012008:Recurrence; D012214:Rheumatic Heart Disease / Q000150:complications*