Barak J, Yakirevich V, Gusarsky J, Geron M, Vidne B A
Scand J Thorac Cardiovasc Surg. 1984;18(1):9-13. doi: 10.3109/14017438409099375.
Emergency combined mitral and aortic valve replacement was performed during an attack of acute rheumatic fever in a 5-year-old boy. He made an uneventful recovery and has remained asymptomatic 1 year after the operation. From this and other authors' clinical experience, we believe that the decision to operate on these patients should be based on the severity of the disability and the hemodynamic disturbances rather than on the activity or inactivity of the rheumatic process.
一名5岁男孩在急性风湿热发作期间接受了急诊二尖瓣和主动脉瓣联合置换术。他恢复顺利，术后1年一直无症状。根据这一病例以及其他作者的临床经验，我们认为，对这些患者进行手术的决策应基于残疾的严重程度和血流动力学紊乱情况，而非风湿病程的活动与否。
