Stručni rad

Rheumatic heart disease with triple valve involvement

MATTEO BRAMBATI ; Università degli studi di Milano, Facoltà di medicina e chirurgia, Via Kennedy 18, 20097 San Donato Milanese, Milano (MI), Italy
PIER FRANCESCO LAURENZI ; Università degli studi di Milano, Facoltà di medicina e chirurgia, Via Kennedy 18, 20097 San Donato Milanese, Milano (MI), Italy
FIORANGELA MARLETTA ; Emergency department, IRCCS Policlinico San Donato, San Donato Milanese, Italy
GIORGIA MANINA ; Emergency department, IRCCS Policlinico San Donato, San Donato Milanese, Italy
DENISE PROVVIDENZA COMINA ; Emergency department, IRCCS Policlinico San Donato, San Donato Milanese, Italy
NGAMBE MANDI PRESTON ; Emergency department, IRCCS Policlinico San Donato, San Donato Milanese, Italy
GIUSEPPINA CASSETTI ; Emergency department, IRCCS Policlinico San Donato, San Donato Milanese, Italy
CHIARA MERLO ; Emergency department, IRCCS Policlinico San Donato, San Donato Milanese, Italy
MICHELE VOLPI ; Emergency department, IRCCS Policlinico San Donato, San Donato Milanese, Italy
ROBERTA MUSSO ; Emergency department, IRCCS Policlinico San Donato, San Donato Milanese, Italy
ROBERTO LA ROCCA ; Emergency department, IRCCS Policlinico San Donato, San Donato Milanese, Italy

Sažetak

Acute rheumatic fever (ARF) is a postinfectious, nonsuppurative sequela of pharyngeal infection caused by Streptococcus
pyogenes, or Group A β hemolytic Streptococcus (GABHS). Of the associated symptoms, only damage to the heart’s
valvular tissue, or rheumatic heart disease (RHD), can become a chronic condition leading to congestive heart failure,
stroke, endocarditis, and death. ARF is the most common cause of cardiac disease in children in developing countries. A
joint meeting of the World Health Organization and the International Society estimated that 12 million people in developing
countries were affected by acute rheumatic fever and rheumatic heart disease, with the majority of these being children. This
level of morbidity is comparable to developed countries’ in the last century, before an increase in the standard of living and
the introduction of penicillin. Significant trivalvular disease, involving the mitral, aortic and tricuspid valves, is uncommon.
Although rare, trivalvular disease has been described in the literature. Clinical and hemodynamic manifestations depend
on the severity of each lesion. We reported this case because of the rare presentation of an uncommon disorder and to
highlight the fact that the presence of trivalvular disease can be difficult to diagnose, even for a trained physician.

Ključne riječi

rheumatic heart disease; triple valve disease; rheumatic valve disease

Hrčak ID:

134106

URI

https://hrcak.srce.hr/134106

Datum izdavanja:

1.10.2013.

Posjeta: 1.152 *