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Juvenile rheumatic mitral stenosis in association with perimembranous ventricular septal defect in a 3-year old boy
  1. Sudarshan Kumar Vijay1,
  2. Bhuwan Tiwari1,
  3. Mukul Misra1,
  4. Taruna Vijaywargiya2
  1. 1Department of Cardiology, Dr Ram Manohar Lohia Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  2. 2Department of Pediatrics, Vivekanand Polyclinic & Institute of Medical Sciences, Lucknow, Uttar Pradesh, India
  1. Correspondence to Dr Sudarshan Kumar Vijay, sudarshanvijay1980{at}


Rheumatic mitral stenosis (MS) is a well-known entity in the developing world. Though rarely seem, MS can present at a very young age with severe symptoms. We describe here an unusual association of a large perimembranous ventricular septal defect with juvenile rheumatic MS leading to severe pulmonary hypertension and heart failure in a very young child.

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