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Ann Thorac Surg 1979;27:529-535
© 1979 The Society of Thoracic Surgeons

Articles

Echocardiography and Valve Replacement in the Critically Ill Patient with Acute Rheumatic Carditis

Basil S. Lewis, M.D.*, Ivor L. Geft, M.B., Simcha Milo, M.D., Mervyn S. Gotsman, F.R.C.P.

From the Departments of Cardiology and Cardiac Surgery, Hadassah Hospital and the Hebrew University, Jerusalem, Israel

Accepted for publication October 4, 1978.

* Address reprint requests to Dr. Lewis, Cardiology Department, Hadassah Hospital, Jerusalem, Israel

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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