Skip to main content

Preoperative Assessment of the Child with Chronic Rheumatic Heart Disease

  • Conference paper
Rheumatic Valvular Disease in Children
  • 94 Accesses

Abstract

The diagnosis of rheumatic heart disease (RHD) in the child is not difficult, but treatment is determined by the severity of the valvular lesion and by the presence of additional myocardial dysfunction, intercurrent arrhythmia, and other diseases. The purpose of this chapter is to review the pathophysiology and clinical findings of each lesion and to describe the assessment of its severity.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 84.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 109.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

References

  1. Arnott WM (1963) The lungs in mitral stenosis. Br Med J 2:765,823

    Article  PubMed  CAS  Google Scholar 

  2. Wood P (1968) Diseases of the heart and circulation, 3rd edn. Eyre & Spottiswoode, London, p 600

    Google Scholar 

  3. Reichek N, Shelburne JC, Perloff JK (1974) Clinical aspects of rheumatic valvular disease. In: Sonnenblick EH, Lesch M (eds) Valvular Heart Disease. Grune & Stratton, New York, p 131

    Google Scholar 

  4. Wood P (1954) An appreciation of mitral stenosis. Br Med J 1:1051, 1113

    Article  PubMed  CAS  Google Scholar 

  5. Wells B (1954) The assessment of mitral stenosis by phonocardiography. Br Heart J 16:261

    Article  PubMed  CAS  Google Scholar 

  6. Craige E (1957) Phonocardiographic studies in mitral stenosis. N Engl J Med 257:650

    Article  PubMed  CAS  Google Scholar 

  7. Perloff JK (1967) Auscultatory and phonocardiographic manifestations of pulmonary hypertension. Prog Cardiovasc Dis 9:303

    Article  PubMed  CAS  Google Scholar 

  8. Houten FX van, Adams DF, Abrams DF (1974) Radiology of valvular heart disease. In: Sonnenblick EH, Lesch M (eds) Valvular Heart Disease. Grune & Stratton, New York, p 1

    Google Scholar 

  9. Lavender JP, Doppman J (1962) The hilum in pulmonary venous hypertension. Br J Radiol 35:303

    Article  PubMed  CAS  Google Scholar 

  10. Feigenbaum H (1972) Echocardiography. Lea & Febiger, Philadelphia

    Google Scholar 

  11. Cope GD, Kisslo JA, Johnson ML, Behar VS (1975) A reassessment of the echocardiogram in mitral stenosis. Circulation 52:664

    PubMed  CAS  Google Scholar 

  12. Teichholz LE (1974) Echocardiography in valvular heart disease. In: Sonnenblick EH, Lesch M (eds) Valvular Heart Disease. Grune & Stratton, New York, p 61

    Google Scholar 

  13. Gibson DG, Brown DJ: (1973) Measurement of instantaneous left ventricular dimension and filling rate in man, using echocardiography. Br Heart J 35:1141

    Article  PubMed  CAS  Google Scholar 

  14. Henry WL, Griffith JM, Michaelis LL, Mcintosh CL, Morrow AG, Epstein SE (1975) Measurement of mitral orifice area in patients with mitral valve disease by real-time, two dimensional echocardiography. Circulation 51:827

    PubMed  CAS  Google Scholar 

  15. Martin RP, Rakowski H, Kleiman JH, Beaver W, London E, Popp RL (1979) Reliability and reproducibility of two dimensional echocardiographic measurement of the stenotic mitral valve orifice area. Am J Cardiol 43:560

    Article  PubMed  CAS  Google Scholar 

  16. Weymann AE, Dillon JC, Feigenbaum H, Chang S (1974) Echocardiographic patterns of pulmonic valve motion with pulmonary hypertension. Circulation 50:905

    Google Scholar 

  17. Eckberg DL, Gault JH, Bouchard RL, Karliner JS, Ross J Jr (1973) Mechanics of left ventricular contraction in chronic severe mitral regurgitation. Circulation 47:1252

    PubMed  CAS  Google Scholar 

  18. Lewis BS, Gotsman MS (1975) Cardiac hypertrophy and left ventricular end-diastolic stress. Isr J Med Sci 11:299

    PubMed  CAS  Google Scholar 

  19. Lewis BS, Gotsman MS (1974) Left ventricular function during systole and diastole in mitral incompetence. Am J Cardiol 34:635

    Article  PubMed  CAS  Google Scholar 

  20. Armstrong TG, Meeran MK, Gotsman MS (1971) The left atrial lift. Am Heart J 82:764

    Article  PubMed  CAS  Google Scholar 

  21. Gotsman MS, Horst RL van der, Le Roux BT (1975) An approach to the surgery of mitral valve disease in children. Isr J Med Sci 11:130

    PubMed  CAS  Google Scholar 

  22. Horst RL van der, Joshi P, Ahmed H, Le Roux BT, Rogers NMA, Gotsman MS (1972) The chest X ray after mitral valve replacement in childhood. S Afr Med J 46:1933

    PubMed  Google Scholar 

  23. Schieken RM, Kerber RE (1976) Echocardiopaphic abnormalities in acute rheumatic fever. Am J Cardiol 38:488

    Article  Google Scholar 

  24. Wann LS, Feigenbaum H, Weyman AE, Dillon JC (1978) Cross-sectional echocardiographic detection of rheumatic mitral regurgitation. Am J Cardiol 41:1258

    Article  PubMed  CAS  Google Scholar 

  25. Barlow JB, Pocock WA (1975) The problem of non-ejection systolic clicks and associated mitral systolic murmurs: emphasis on the billowing mitral leaflet syndrome. Am Heart J 90:636

    Article  PubMed  CAS  Google Scholar 

  26. McLaren MJ, Hawkins DM, Koornhof HJ, Bloom KR, Bramwell Jones DM, Cohen E, Gale GE, Kanarek K, Lachman AS, Lakier JB, Pocock WA, Barlow JB (1975) Epidemiology of rheumatic heart disease in black schoolchildren of Soweto, Johannesburg. Br Med J 3:474

    Article  PubMed  CAS  Google Scholar 

  27. Dodge HT, Kennedy JW, Peterson JL (1974) Quantitative angiocardiographic methods in the evaluation of valvular heart disease. In: Sonnenblick EH, Lesch M (eds) Valvular Heart Disease. Grune & Stratton, New York, p 85

    Google Scholar 

  28. Lewis BS, Mitha AS, Gotsman MS (1975) Left ventricular function in systole and diastole in aortic incompetence. Isr J Med Sci 11:420

    PubMed  CAS  Google Scholar 

  29. Gaasch WH, Levine HJ, Quinones MA, Alexander JK (1976) Left ventricular compliance: mechanisms and clinical implications. Am J Cardiol 38:645

    Article  PubMed  CAS  Google Scholar 

  30. Goldschlager N, Pfeifer J, Cohn K, Popper R, Selzer A (1973) The natural history of aortic regurgitation. A clinical and haemodynamic study. Am J Med 54:577

    Article  PubMed  CAS  Google Scholar 

  31. Segal J, Harvey WP, Hufnagel CA (1956) Clinical study of one hundred cases of severe aortic insufficiency. Am J Med 21:200

    Article  PubMed  CAS  Google Scholar 

  32. Gorlin R, Case RV (1956) Clinical diagnosis of aortic valve disease. N Engl J Med 255:368

    Article  PubMed  CAS  Google Scholar 

  33. Joyner CR, Dyrda I, Reid JM (1966) Behaviour of the anterior leaflet of the mitral valve in patients with an Austin-Flint murmur. Clin Res 14:251

    Google Scholar 

  34. Winsberg F, Gabor GE, Hernberg JG (1970) Fluttering of the mitral valve in aortic insufficiency. Circulation 41:225

    PubMed  CAS  Google Scholar 

  35. Pridie RB, Beham R, Oakley CM (1971) Echocardiography of the mitral valve in aortic valve disease. Br Heart J 33:296

    Article  PubMed  CAS  Google Scholar 

  36. Fortuin NG Craige E (1972) On the mechanism of the Austin-Flint murmur. Circulation 45:550

    Google Scholar 

  37. Smith HJ, Neutze JM, Roche AHG, Agnew TM Barratt-Boyes BG (1976) The natural history of rheumatic aortic regurgitation and the indications for surgery. Br Heart J 38:147

    Article  PubMed  CAS  Google Scholar 

  38. Roberts WC (1970) Anatomically isolated aortic valvular disease: the case against its being a rheumatic etiology. Am J Med 49:151

    Article  PubMed  CAS  Google Scholar 

  39. Lyle DP, Bancroft WH Jr. Tucker M, Eddleman EE (1971) Slope of the carotid pulse wave in normal subjects, aortic valvular diseases and hypertrophic subaortic stenosis. Circulation 43:374

    PubMed  CAS  Google Scholar 

  40. Perloff JK (1968) Clinical recognition of aortic stenosis. The physical signs and differential diagnosis of the various forms of obstruction to left ventricular outflow. Prog Cardiovase Dis 10:323

    Article  Google Scholar 

  41. Aziz KU, Grondelle A van, Paul MH, Muster AJ (1977) Echocardiographic assessment of the relation between left ventricular wall and cavity dimensions and peak systolic pressure in children with aortic stenosis. Am J Cardiol 40:775

    Article  PubMed  CAS  Google Scholar 

  42. Bennett DH, Evans DW, Raj MVJ (1975) Echocardiographic left ventricular dimensions in pressure and volume overload. Their use in assessing aortic stenosis. Br Heart J 37:971

    Article  PubMed  CAS  Google Scholar 

  43. Glanz S. Hellebrand WE, Berman MA, Talner NS (1976) Echocardiographic assessment of the severity of aortic stenosis in children and adolescents. Am J Cardiol 38:620

    Article  PubMed  CAS  Google Scholar 

  44. Blackwood RA, Bloom KR, Constance MW (1978) Aortic stenosis in children: experience with echocardiographic prediction of severity. Circulation 57:263

    PubMed  CAS  Google Scholar 

  45. Nanda NC, Gramiak R, Manning J, Mahoney EB, Lipchik EO, De Weese JA (1974) Echocardiographic recognition of the congenital bicuspid aortic valve. Circulation 49:870

    PubMed  CAS  Google Scholar 

  46. Salazar E, Levine HD (1962) Rheumatic tricuspid regrugitation: the clinical spectrum. Am J Med 33:111

    Article  PubMed  CAS  Google Scholar 

  47. Strober W, Cohen LS, Waldman TA, Braunwald E (1968) Tricuspid regurgitation: a newly recognised cause of protein-losing enteropathy, lymphocytopenia and immunologic deficiency. Am J Med 44:842

    Article  PubMed  CAS  Google Scholar 

  48. Armstrong TG, Gotsman MS (1974) The left parasternal lift in tricuspid incompetence. Am Heart J 88:183

    Article  PubMed  CAS  Google Scholar 

  49. Diamond MA, Dillon JC, Haine CL, Chang SC, Feigenbaum H (1971) Echocardiographic features of atrial septal defect. Circulation 43:129

    PubMed  CAS  Google Scholar 

  50. Morgan JR, Forber AD, Coates JR, Myers WS (1971) Isolated tricuspid stenosis. Circulation 44:729

    PubMed  CAS  Google Scholar 

  51. Perloff JK, Harvey WP (1971) The clinical recognition of tricuspid stenosis. Circulation 44:729

    Google Scholar 

  52. Gibson RV, Wood P (1955) The diagnosis of tricuspid stenosis. Br Heart J 17:552

    Article  PubMed  CAS  Google Scholar 

  53. Carvallo JMR (1950) El diagnostico de la estenosis tricuspidea. Arch Inst Cardiol Mex 20:1

    Google Scholar 

  54. Sherif E, Nabil E (1971) Rheumatic tricuspid stenosis: hemodynamic correlations. Br Heart J 33:16

    Article  PubMed  Google Scholar 

  55. Joyner CR, Berry Hey E, Johnson J, Reid JM (1967) Reflected ultrasound in the diagnosis of tricuspid stenosis. Am J Cardiol 19:66

    Article  PubMed  Google Scholar 

  56. Tzivoni D, Gotsman MS (1975) Infective endocarditis in the aged. Harefuah 89:425 (in Hebrew)

    PubMed  CAS  Google Scholar 

Download references

Authors

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 1980 Springer-Verlag Berlin Heidelberg

About this paper

Cite this paper

Gotsman, M.S., Lewis, B.S. (1980). Preoperative Assessment of the Child with Chronic Rheumatic Heart Disease. In: Borman, J.B., Gotsman, M.S. (eds) Rheumatic Valvular Disease in Children. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-642-95371-2_5

Download citation

  • DOI: https://doi.org/10.1007/978-3-642-95371-2_5

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-10079-9

  • Online ISBN: 978-3-642-95371-2

  • eBook Packages: Springer Book Archive

Publish with us

Policies and ethics