Triple valve repair for rheumatic heart disease

John P. Liuzzo, Yong T. Shin, Richard Lucariello, Marc Klapholz, Samuel J. Lang, Robert Braff, Hui Guan, John T. Coppola, John A. Ambrose

Research output: Contribution to journalArticle

5 Scopus citations

Abstract

The onset of the clinical expression of rheumatic heart disease (RHD) is variable. Exercise or other states that necessitate increased cardiac output often precipitate symptoms. Mitral stenosis (MS) is present in 25% of patients with RHD, and 40% of patients have concomitant MS and mitral regurgitation. About two third of patients with MS have concurrent aortic insufficiency. Pulmonary and tricuspid insufficiency may occur from rheumatic involvement of these valves, or secondary to dilatation of valve annuli from pulmonary hypertension secondary to mitral and/or aortic valve disease. Pregnancy is associated with many hemodynamic changes including expanded intravascular volume, tachycardia, increased intracardiac dimensions, and valvular regurgitation. We report a case of a young female who developed flash pulmonary edema during parturition and was found to have abnormal rheumatic involvement of her aortic, mitral, and tricuspid valves. Successful triple valve repair was performed in a single operation. A review of rheumatic valvular abnormalities, and literature supporting multivalvular repair for rheumatic heart disease is provided.

Original languageEnglish (US)
Pages (from-to)358-363
Number of pages6
JournalJournal of Cardiac Surgery
Volume20
Issue number4
DOIs
Publication statusPublished - Jul 1 2005
Externally publishedYes

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ASJC Scopus subject areas

  • Surgery
  • Pulmonary and Respiratory Medicine
  • Cardiology and Cardiovascular Medicine

Cite this

Liuzzo, J. P., Shin, Y. T., Lucariello, R., Klapholz, M., Lang, S. J., Braff, R., ... Ambrose, J. A. (2005). Triple valve repair for rheumatic heart disease. Journal of Cardiac Surgery, 20(4), 358-363. https://doi.org/10.1111/j.1540-8191.2005.200495.x