Severe seropositive rheumatoid arthritis can cause rapid progression of aortic regurgitation due to valve prolapse, which can be successfully treated with emergency aortic valve replacement.
Successful emergency AVR is feasible in RA-related acute AR; this case leaves open questions of prevalence, screening, and generalizability.
Rapid progression of aortic regurgitation was closely observed in a patient with severe seropositive rheumatoid arthritis. Rheumatoid changes within the aortic valve leaflets resulted in severe prolapse necessitating emergency operation. The postoperative course was satisfactory.
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Linch et al. (1980) studied this question.
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