title: Quadrivalvular heart disease of mixed congenital and rheumatic aetiology with concomitant ostium secundum atrial septal defect and Ebstein's anomaly of the tricuspid valve.
abstract: We describe a 34-year-old man with an ostium secundum atrial septal defect, Ebstein's anomaly of the tricuspid valve with severe tricuspid regurgitation, congenital valvular pulmonary stenosis, rheumatic mitral stenosis and regurgitation with aortic regurgitation, who presented with decompensated heart failure after developing atrial fibrillation. The complex haemodynamic interplay of these lesions is also discussed.
authors: Department of Cardiology, Kasturba Medical College, Manipal, Karnataka, India.
authors: Ranjan K
authors: RK
authors: Shetty
authors: G
authors: G
authors: Vivek
authors: Kushal
authors: K
authors: Naha
authors: N R
authors: NR
authors: Rau
authors: K
authors: K
authors: Nayak
mesh_terms: D000328:Adult; D001011:Aorta / Q000473:pathology; D001022:Aortic Valve Insufficiency / Q000150:complications; D001281:Atrial Fibrillation / Q000209:etiology; D054087:Atrial Septum / Q000473:pathology; D004437:Ebstein Anomaly / Q000150:complications*; D006330:Heart Defects, Congenital / Q000150:complications* / Q000473:pathology; D006333:Heart Failure / Q000209:etiology* / Q000473:pathology; D006344:Heart Septal Defects, Atrial / Q000150:complications*; D006349:Heart Valve Diseases / Q000150:complications* / Q000473:pathology; D006351:Heart Valves / Q000473:pathology*; D006801:Humans; D008297:Male; D008946:Mitral Valve Stenosis / Q000150:complications / Q000473:pathology; D011666:Pulmonary Valve Stenosis / Q000150:complications / Q000473:pathology; D012216:Rheumatic Diseases / Q000150:complications* / Q000473:pathology; D014262:Tricuspid Valve Insufficiency / Q000150:complications
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