Case report
Stenotic involvement of all four heart valves: Report of three cases

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Abstract

Three cases of quadrivalvular rheumatic lesions are reported, all proved by autopsy examination. The symptomatology of these quadrivalvular lesions varies according to the relative stenotic involvement of each valve. The clinical course rapidly deteriorates once rightsided heart failure appears. Surgical correction with the aid of extracorporeal circulation is feasible in the earlier stage of the disease.

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