Combined Rheumatic and Congenital Heart Disease

We evaluated combined rheumatic and congenital heart disease in 4 patients. Congenital defects were ventricular septal defect, patent ductus arteriosus, operated valvular pulmonary stenosis, bicuspid aortic valve plus aortic valve stenosis. Rheumatic manifestations were mitral and aortic valve regurgitation in 3 patients and mitral regurgitation in one patient. Sydenham’ chorea was seen together with rehumatic valve
disease in one patient. The incidence of combined rheumatic and congenital heart disease was % 3 in our 124 rheumatic fever patients. Conclusion: because of high incidence of rheumatic fever in Turkey, when clinical and labarotory findings of rheumatic fever are established in patients with congenital heart disease, diagnosis of combined rheumatic and congenital heart disese could be made.

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