Spectrum of rheumatic heart disease in single patient.

To cite: Hirapur IS, Rajendran R, Kolhari VB, et al. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2013010391 DESCRIPTION Rheumatic heart disease (RHD) is still highly prevalent in developing countries and accounts for sizeable cardiovascular morbidity. The mitral valve is the most commonly involved valve. Since its introduction by Inoue et al in 1984 as an alternative to surgical mitral commissurotomy for treatment of rheumatic mitral stenosis (MS), percutaneous transvenous mitral commissurotomy (PTMC) has been successfully and safely performed in large series of patients at numerous centres. Excellent long-term results obtained after PTMC, like those of an open mitral valvotomy, are far superior to those after a closed mitral valvotomy (CMV). We presented a case of a patient with mitral restenosis after CMV and PTMC with a left atrium