Combined aortic and mitral stenosis

Rheumatic aortic stenosis in young patients presenting with combined aortic and mitral stenosis.

“…The combination of aortic stenosis and mitral stenosis occurs in about 5 per cent of patients after rheumatic fever (Uricchio et al, 1959;Katznelson et al, 1960). The aortic stenosis usually makes its appearance 15 to 20 years after an episode of rheumatic carditis.…”

“…The aortic stenosis usually makes its appearance 15 to 20 years after an episode of rheumatic carditis. Hence, rheumatic aortic stenosis is often diagnosed only in the fourth or fifth decade of life (Katznelson et al, 1960;Honey, 1961;Zitnik et al, 1965). In the younger age-group, aortic stenosis is usually considered congenital unless otherwise proved.…”

“…Hence, we take the view that the aetiology of the aortic stenosis in our patients is rheumatic and not congenital. The recognition of aortic stenosis in patients with mitral stenosis is not always easy (Katznelson et al, 1960), but is important when selecting patients for closed valvotomy (Morrow et al, 1962;Vytilingam et al, 1964). The aortic systolic murmur in these patients is quieter and in 2 of our cases was absent.…”

Combined mitral and aortic stenosis of rheumatic origin with double-valve replacement in an octogenarian

“…Of the 267 patients reported in the previously mentioned 8 studies [2][3][4][5][6][7][8][9], 171 (64%) were women. .…”

“…Several studies have examined cardiac hemodynamics in patients with combined MS and AS [2][3][4][5][6][7][8][9]. Although there are exceptions, the degree of AS when combined with MS is not as great (transvalvular peak systolic gradient) as in patients with isolated AS.…”