Highlights the rare concurrent presentation of rheumatic mitral stenosis and sickling hemoglobinopathy, which can pose significant challenges during pregnancy and the post-partum period.
May warrant vigilance for concurrent hemoglobinopathy in post-partum mitral stenosis; leaves open optimal screening and management strategies.
Rheumatic heart disease, particularly rheumatic mitral stenosis and hemoglobinopathies, especially HbS can pose a problem in pregnancy. Though both these conditions have a high incidence and considerable geographic overlap in India, very few studies have reported these diseases occurring concurrently. This is a report of concurrent recently diagnosed rheumatic mitral stenosis and undiagnosed sickling hemoglobinopathy in a post-partum woman.
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Vaideeswar et al. (2017) studied this question.
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