title: A rare instance of multiple valvular lesions in a patient with Wegener's granulomatosis.
abstract: Wegener's granulomatosis (WG) is a systemic necrotising vasculitis involving the respiratory and renal tracts. Dual valvular involvement in WG is uncommon. We describe a 52-year-old patient with aortic regurgitation and mitral stenosis due to WG requiring replacement of both valves. We also discuss a strategy for follow-up of asymptomatic WG patients with suspected heart valve involvement.
authors.affiliation: Royal Liverpool University Hospital, Liverpool, UK. koyalashiva@gmail.com
authors.forename: Shiva Prasad
authors.initials: SP
authors.lastname: Koyalakonda
authors.forename: Unni
authors.initials: U
authors.lastname: Krishnan
authors.forename: William Julian
authors.initials: WJ
authors.lastname: Hobbs
mesh_terms: D001022:Aortic Valve Insufficiency / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology; D001706:Biopsy; D017548:Echocardiography, Transesophageal; D004804:Eosinophils / Q000473:pathology; D014890:Granulomatosis with Polyangiitis / Q000150:complications* / Q000473:pathology; D006801:Humans; D008297:Male; D008875:Middle Aged; D008946:Mitral Valve Stenosis / Q000000981:diagnostic imaging / Q000209:etiology* / Q000473:pathology