Abstract
The case of a 60-year-old man illustrates a number of important features of rheumatic heart disease (RHD). The patient’s age of presentation was late (>50 yo) and he had no history of predisposing condition for RHD but served in the South Pacific when he was in the US Navy. RHD was limited to mitral stenosis in this patient and his presentation of heart failure was late. His ECG revealed ample evidence of right ventricular enlargement, and echocardiography demonstrated severe mitral stenosis, enlarged right ventricle and right atrium and marked pulmonary hypertension. Because percutaneous balloon mitral valve commissurotomy was precluded by the degree of mitral valve calcification, he underwent successful surgical valve replacement with relief of symptoms. Although RHD is rarely encountered in North America and Europe, it remains a major cause of mortality in the developing nations.
Highlights
The case of a 60-year-old man illustrates a number of important features of rheumatic heart disease (RHD)
The degree of MV leaflet thickening, calcification, commissural fusion and decreased leaflet mobility on the patient’s echocardiogram indicated that the severe MS and subsequent heart failure were the result of rheumatic heart disease (RHD)
Women have a higher prevalence of RHD than men, and patients usually become symptomatic between ages 20-50 years [1]
Summary
Pooja Prasad MD, Ali Abdulraheem Mahdi MD, Muhammad Majid MD, Patricia Applegate MD, Ezra A. *Corresponding Author: Sandhya Venugopal, Division of Cardiovascular Medicine, Department of Internal Medicine, University of California (Davis) Medical Center, Sacramento, CA, USA. Received Date: August 03, 2021 | Accepted Date: September 27, 2021 | Published Date: October 05, 2021 International Journal of Clinical Case Reports and Reviews. 8(5); DOI:10.31579/2690-4861/159
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