What is the role of surgery in the treatment of acute rheumatic fever (ARF)?

Updated: Dec 10, 2020
  • Author: Robert J Meador, Jr, MD; Chief Editor: Herbert S Diamond, MD  more...
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Valve replacement should be considered in patients with active carditis, especially those with cases that are refractory to medical care or require high doses of vasodilators and diuretics.

Regurgitant lesions respond to valve replacement. Pure stenotic lesions may benefit from more conservative balloon mitral commissurotomy. [32]

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