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The Annals of Thoracic Surgery, Vol 27, 529-535, Copyright © 1979 by The Society of Thoracic Surgeons

ARTICLES

Echocardiography and valve replacement in the critically ill patient with acute rheumatic carditis

BS Lewis, IL Geft, S Milo and MS Gotsman

In 4 critically ill patients with acute rheumatic carditis, valve incompetence, and severe life-threatening cardiac failure, medical treatment consisting of bedrest, oxygen, digitalis, diuretics, and steroids produced little or no clinical improvement. Echocardiography showed that in each patient myocardial function was relatively well preserved despite active rheumatic carditis and the critical clinical state. Emergency valve replacement was performed, and a good clinical result was achieved in all 4 patients.




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ANN THORAC SURG ASIAN CARDIOVASC THORAC ANN EUR J CARDIOTHORAC SURG
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Copyright © 1979 by The Society of Thoracic Surgeons.