Concluded Case

Rheumatic heart disease Multiple Valve Disease

A 39 yrs old patient having long standing rheumatic heart disease. Gradually involved 3 out of 4 heart valves. Presented to me with DOE, Palpitation, anorexia, hyperbilirubinemia, ascites with features of right heart failure.She was having triple valve diease. Severe Mitral stenosis with mitral regurgitation, severe tricuspid regurgitation with mild TS, severe pulmonary regurgitation with severe PAH and suprasystemic PA pressures. Medically stabilized the patient and did the corrective surgery( mitral valve replacement with tricuspid valve repair) left free PR, as the pulmonary valves seems normal during examination and PR may be due to annular dilatation. Left PR as such it will settle once RV starts remodelling itself postoperatively.

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Concluded answer

Did Mitral valve replacement with tricuspid valve repair and pulmonary valve left as such.

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Excellent case presented for pg students And learning for me

Thanx drbharat Sharma
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Rheumatic Heart Disease first aampachan should be the line of treatment,so chitrakadi vati,shring bhasma,arjun ksheerpaka

Did Mitral valve replacement with tricuspid valve repair and pulmonary valve left as such.

RA case involving stenosis of valves. Nicely depicted/very well managed..

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