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  • Title: Valve surgery in acute rheumatic heart disease. One- to four-year follow-up.
    Author: al Kasab S, al Fagih MR, Shahid M, Habbab M, al Zaibag M.
    Journal: Chest; 1988 Oct; 94(4):830-3. PubMed ID: 3168577.
    Abstract:
    Six patients with acute rheumatic carditis and intractable left ventricular failure, all in class 4 NYHA classification, underwent successful valve surgery combined with medical therapy. Two-dimensional echocardiography and Doppler studies showed all of them to have left ventricular dilatation, with good systolic function, together with severe mitral regurgitation; two patients also had severe aortic regurgitation. Over a mean follow-up period of two years, no mortality was recorded, and all six patients were in NYHA class 1-2. We conclude that valve replacement is not contraindicated in acute rheumatic carditis and may be preferable to repair.
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