A Rare Combination of Complex Congenital Heart Disease with Acquired Rheumatic Valvular Heart Disease

Abdul Wadud Chowdhury, Azizul Haque, ABM Imam Hosen, Gias Uddin Md Salim, Kazi Nazrul Islam, Mohammod Gaffar Amin, Abu Taher Md Mahfuzul Hoque, – Md Khalequzzaman, Pratyay Hasan

Tetralogy of Fallot (TOF) is a complex cyanotic congenital heart disease with a survival beyond
middle age. Rheumatic and congenital cyanotic heart disease are common causes of hospital
admission. However, coexistence of rheumatic heart disease with complex congenital heart disease
like TOF is known to occur very rarely. This report presents a case of rheumatic valvular heart
disease (AR & MR) with a complex congenital heart disease (TOF with PDA with PLSVC) in a 30 yrs
old female. Patient was treated by conservative management and advised for corrective surgery and
double valve replacement.