Tetralogy of Fallot with rheumatic mitral stenosis: A case report

<p>Abstract</p> <p>Introduction</p> <p>Rheumatic and congenital heart diseases account for the majority of hospital admissions for cardiac patients in India. Tetralogy of Fallot is the most common congenital heart disease with survival to adulthood. Infective endocarditis accounts for 4% of admissions to a specialized unit for adult patients with a congenital heart lesion. This report is unique in that a severe stenotic lesion of the mitral valve, probably of rheumatic aetiology, was noted in an adult male with Tetralogy of Fallot.</p> <p>Case presentation</p> <p>An unusual association of rheumatic mitral stenosis in an adult Indian male patient aged 35 years with Tetralogy of Fallot and subacute bacterial endocarditis of the aortic valve is presented.</p> <p>Conclusion</p> <p>In this case report the diagnostic implications, hemodynamic and therapeutic consequences of mitral stenosis in Tetralogy of Fallot are discussed. In addition, the morbidity and mortality of infective endocarditis in adult patients with congenital heart disease are summarized. The risk of a coincident rheumatic process in patients with congenital heart disease is highlighted and the need for careful attention to this possibility during primary and follow-up evaluation of such patients emphasized.</p

Letter to the Editor - Congenital Heart Disease with Rheumatic Fever and Rheumatic Heart Disease: A Coincidence or an Association?

The incidence of congenital heart disease (CHD) is about 8 per 1000 live births.1 The prevalence of rheumatic heart disease (RHD) in school-aged children is estimated to be in the range of 2-11 per 1000.2,3 Hence, the occurrence of both these conditions in the same patient can be considered to be uncommon. We carried out a retrospective study in a tertiary referral centre with an aim to analyse the co-existence of CHD and Rheumatic fever (RF)/ RHD