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- W2064157071 abstract "To the Editor: In their report of a case of combined acute rheumatic fever and congenitally bicuspid aortic valve, McReynolds et al1McReynolds RA Ali N Cuadra M Combined acute rheumatic fever and congenitally bicuspid aortic valve: A hitherto unconfirmed combination.Chest. 1976; 70: 98-100Abstract Full Text Full Text PDF PubMed Scopus (6) Google Scholar stated that this is a hitherto unconfirmed combination; however, we have previously reported2Borman JB Appelbaum A Hirsch M Quadruple valve commissurotomy.J Thorac Cardiovasc Surg. 1975; 70: 712-716PubMed Google Scholar the findings in a patient with severe polyvalvular disease necessitating quadruple valvular commissurotomy. This patient suffered from repeated documented attacks of unequivocal rheumatic fever from an early age. Cardiac catheterization showed severe stenosis, as well as mild to moderate incompetence of the mitral, aortic, and tricuspid valves, and mild stenosis of the pulmonic valve. The aortic valve was seen to be bicuspid on angiocardiographic studies; and at operation the valve, although stenotic, was clearly seen to be composed of two distinct valvular cusps and two distinct commissures. Typical rheumatic mitral stenosis was present. This patient, therefore, represented a case of combined rheumatic heart disease and congenitally bicuspid aortic valve. Moreover, the structure of the stenotic tricuspid valve was strongly suggestive of a congenital lesion, and pulmonic stenosis was also present, thus providing further evidence in favor of a combination of congenital and rheumatic heart disease. Both rheumatic and congenital heart disease are not uncommon conditions, and there is no reason why the two should not occasionally occur together. Lack of previous published reports, the sole purpose of which is to point out the coexistence of two common diseases, should not be construed as an indication of the rarity of the combination." @default.
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- W2064157071 date "1977-04-01" @default.
- W2064157071 modified "2023-09-24" @default.
- W2064157071 title "Coexistence of Congenital Bicuspid Aortic Valve and Rheumatic Heart Disease" @default.
- W2064157071 cites W2147583931 @default.
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- W2064157071 doi "https://doi.org/10.1378/chest.71.4.562" @default.
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