title: Which valve is which?
abstract: A 25-year-old man presented with a history of breathlessness for the past 2 years. He had a history of operation for Tetralogy of Fallot at the age of 5 years and history suggestive of Rheumatic fever at the age of 7 years. On echocardiographic examination, all his heart valves were severely regurgitating. Morphologically, all the valves were irreparable. The ejection fraction was 35%. He underwent quadruple valve replacement. The aortic and mitral valves were replaced by metallic valve and the tricuspid and pulmonary by tissue valve.
authors.affiliation: Department of Anaesthesiology and Institute of Critical Care, Medanta . The Medicity, Gurgaon, Haryana, India.
authors.forename: Pravin
authors.initials: P
authors.lastname: Saxena
authors.forename: Anil
authors.initials: A
authors.lastname: Bhan
authors.forename: Rajesh Kumar
authors.initials: RK
authors.lastname: Sharma
authors.forename: Yatin
authors.initials: Y
authors.lastname: Mehta
mesh_terms: D000328:Adult; D001021:Aortic Valve / Q000601:surgery*; D006349:Heart Valve Diseases / Q000601:surgery*; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008297:Male; D008943:Mitral Valve / Q000601:surgery*; D014261:Tricuspid Valve / Q000601:surgery*