Concomitant disease of the heart

Combined heart defects are such vices in which affects two or more valves. As a rule, such disease of the heart is observed in children with severe continuous recurrent course of rheumatism. According to I. A. Cashiers and G. I. Cashiers (1964), G. I. Cashiers (1972), often occur metrolina-aortic vices. They constitute 44.2% of all concomitant heart disease, while other combinations were observed much less often: metrolina-tricuspid - 9.8%, mitrale-tricuspidal-aortic - by 10.9%, other 5.7%.
In children coinfected defects occur less often than in adults. According to the data, Kissa (1962), a combination failure butterfly valve with aortic noted in 9.1% of cases. The combination of the failure of bivalve and tricuspid valves with other malformations were observed in 1,36%.
According to our data, the combination of the failure of the mitral and aortic valves were observed in 18 out of 220 children, which was 8.1% among all acquired heart diseases.
Concomitant disease of the heart always have a devastating effect on hemodynamics, as hemodynamic disorders attributable to each blemish in isolation, when they are combined summarized. Children in the presence of concomitant defects quickly develop symptoms of decompensation.
The clinical picture of associated heart disease is famous for its diverse and depends on the prevalence of symptoms one blemish on top of the other or the presence of symptoms and one and another wrinkle.
Sometimes clinical manifestations one of the vices can be smoothed out due to the effect of another wrinkle.