Khan A, Chi S, Gonzalez-Lavin L
Br Heart J. 1978 Jul;40(7):817-9. doi: 10.1136/hrt.40.7.817.
Emergency aortic valve replacement was performed during an attack of acute rheumatic fever in a 12-year-old black boy. He had an uneventful recovery and has remained asymptomatic 27 months after operation. In the light of this experience and that of others, one might conclude that the decision to operate on these patients should be based on the severity of the haemodynamic derangement rather than on the state of activity in the rheumatic process.
一名12岁黑人男孩在急性风湿热发作期间接受了急诊主动脉瓣置换术。他术后恢复顺利，术后27个月一直无症状。鉴于这一病例及其他病例的经验，人们可能会得出结论，对这些患者进行手术的决策应基于血流动力学紊乱的严重程度，而非风湿病程的活动状态。
