Key result
Severe rheumatic mitral stenosis triggers right ventricular failure in congenital rubella syndrome with pulmonary stenosis.
Why the study?
Congenital rubella syndrome with congenital valvular pulmonary stenosis associated with multivalvular rheumatic heart disease is an unusual clinical presentation.
Case Report (n=1)
Rare association warrants vigilance in complex congenital-rheumatic valvular cases; leaves open etiological links and prevalence.
Congenital rubella syndrome with congenital valvular pulmonary stenosis in association with Multivalvular rheumatic heart disease is unusual. Herein we describe a case of 30-year-old female with mental retardation, sensory-neural hearing loss and visual impairment, diagnosed as valvular pulmonary stenosis at the age of 6 years and subsequently developed NYHA class II/IV symptoms since last 2 years, progressed to III/IV since 2 months. Evaluation revealed rheumatic severe mitral stenosis, mild aortic stenosis, dome shaped thickened pulmonary valve with severe pulmonary stenosis and stigma of congenital rubella syndrome along with right ventricular failure. Role of preventive aspects in general & optimal management and serial noninvasive follow up in particular is emphasized.
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Singhal et al. (2013) conducted a case report in Multivalvular rheumatic heart disease with congenital rubella syndrome and valvular pulmonary stenosis (n=1). Clinical evaluation and management was evaluated. Evaluation of a 30-year-old female with congenital rubella syndrome and pulmonary stenosis revealed right ventricular failure secondary to severe rheumatic mitral stenosis and mild aortic stenosis.
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