Okeahialam B N
Cardilogy Sub-Unit 1, Department of Medicine, Jos University Teaching Hospital, Jos, Plateau State, Nigeria.
West Afr J Med. 2018 Jan-Apr;35(1):44-46.
Though valve disease resulting from rheumatic heart disease is common, triple valve involvement is uncommon; with a bleak survival outlook Objective: To report a 38-year-old patient with both stenosis and incompetence of 3 valves, who lived till adulthood and went into heart failure after child-birth. No such report has come from Nigeria Methods: Case report of a Nigerian woman who lived with multiple valve disease up to adulthood when after delivery she developed hypertension and went into heart failure. Recurrent atrial fibrillation kept her in and out of heart failure. Three of her valves: mitral, aortic and tricuspid were both stenosed and incompetent. The consequent pulmonary hypertension and later development of arterial hypertension and atrial fibrillation worsened her morbidity till surgical intervention.
Mixed triple valve disease of rheumatic origin tough rare, can occur; and is amenable to specialist surgical intervention.
尽管风湿性心脏病导致的瓣膜疾病很常见，但三尖瓣受累并不常见；生存前景黯淡。目的：报告一名38岁的患者，其三尖瓣均有狭窄和关闭不全，活到成年并在产后发生心力衰竭。尼日利亚尚无此类报告。方法：一名尼日利亚女性的病例报告，该女性患有多种瓣膜疾病直至成年，产后出现高血压并发展为心力衰竭。反复发作的心房颤动使她反复出现心力衰竭。她的二尖瓣、主动脉瓣和三尖瓣均有狭窄和关闭不全。由此导致的肺动脉高压以及随后出现的动脉高血压和心房颤动使她的病情恶化，直至接受手术干预。
风湿性起源的混合性三尖瓣疾病虽然罕见，但可能发生；并且适合专科手术干预。
