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Rheumatoid Inflammation Causing Aortic Valve Perforation
Neeta Bachani1, Rashmi Rao1, Neha Arora1
1Holy Family Hospital, Mumbai, India.
None:
An elderly woman with rheumatoid arthritis presented with progressive dyspnea. Transoesophageal echocardiography revealed severe aortic regurgitation with perforation of the non-coronary and left coronary leaflet. After stabilization and a week of antibiotic therapy, aortic valve replacement was performed. The valve histology showed palisading granulomas typical of rheumatoid etiology.
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