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has been cited by the following article:

• TITLE: Quadrivalvar Rheumatic Cardiopathy in Tetralogy of Fallot in an Adult—A Case Report

  AUTHORS: Ramachandran Muthiah

  KEYWORDS: Tetralogy of Fallot, Rheumatic Cardiopathy, All Four Heart Valves, Echocardiography, Current Research Status

  JOURNAL NAME: Case Reports in Clinical Medicine, Vol.5 No.6, June 13, 2016

  ABSTRACT: Rheumatic involvement of all four heart valves is uncommon and its association with congenital heart disease is very rare. Tetralogy of Fallot is a frequent cyanotic congenital heart disease with a survival beyond middle age. Background of this case report described the rheumatic involvement of all four heart valves (quadrivalvar rheumatic cardiopathy) with stenotic lesions of semilunar valves (aortic and pulmonary valves) and regurgitant lesions of atrioventricular valves (mitral and tricuspid valves) in Tetralogy of Fallot in a 48-year old asymptomatic female, detected by transthoracic two dimensional echocardiography in Thoothukudi region of India.