Chopra P, Tandon H D
Acta Cardiol. 1977;32(6):423-34.
This study is based on a retrospective analysis of 144 autopsied cases of rheumatic heart disease. Majority of cases (79%) were chronic and 21% were acute in nature. The mortality was high and was maximum below the age of 30 years. The males predominated over females. A high incidence of organic tricuspid valve involvement was observed (45.8%). Tricuspid stenosis was observed in 3 cases. Latter was associated with aortic and mitral valve involvement. Mitral stenosis was severe in all the three cases. Criteria, both gross and microscopic for the involvement of the tricuspid valve have been described. Involvement of mitral valve either singly or in combination with the other valves, emerged to be the commonest. Changes observed in the lungs in these cases have been dealth with briefly. Pulmonary vascular changes were usually severe, particularly in the juvenile age group.
本研究基于对144例风湿性心脏病尸检病例的回顾性分析。大多数病例（79%）为慢性，21%为急性。死亡率很高，在30岁以下人群中最高。男性多于女性。观察到器质性三尖瓣受累的发生率很高（45.8%）。发现3例三尖瓣狭窄。后者与主动脉瓣和二尖瓣受累相关。所有3例二尖瓣狭窄均很严重。已描述了三尖瓣受累的大体和微观标准。二尖瓣单独受累或与其他瓣膜联合受累是最常见的。简要讨论了这些病例中肺部观察到的变化。肺血管变化通常很严重，尤其是在青少年年龄组。
