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We report an unusual association of multiple ventricular septal defects and severe pulmonary arterial hypertension with rheumatic mitral stenosis in a 7-year-old girl. This case highlights the need for careful examination for coexisting rheumatic disease in late presentations of congenital heart disease.<\/jats:p>","DOI":"10.1177\/021849230701500515","type":"journal-article","created":{"date-parts":[[2013,5,6]],"date-time":"2013-05-06T09:37:22Z","timestamp":1367833042000},"page":"432-434","source":"Crossref","is-referenced-by-count":2,"title":["Juvenile Rheumatic Mitral Stenosis with Multiple Ventricular Septal Defects"],"prefix":"10.1177","volume":"15","author":[{"given":"Cheemalapati Sai","family":"Krishna","sequence":"first","affiliation":[{"name":"Apollo Heart Institute, Visakhapatnam, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Vedangi Ramesh","family":"Babu","sequence":"additional","affiliation":[{"name":"Apollo Heart Institute, Visakhapatnam, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanteti Ram","family":"Mohan","sequence":"additional","affiliation":[{"name":"Apollo Heart Institute, Visakhapatnam, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Dibya K","family":"Baruah","sequence":"additional","affiliation":[{"name":"Apollo Heart Institute, Visakhapatnam, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Palli V Naresh","family":"Kumar","sequence":"additional","affiliation":[{"name":"Apollo Heart Institute, Visakhapatnam, Andhra Pradesh, India"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"179","published-online":{"date-parts":[[2007,10,1]]},"reference":[{"key":"bibr1-021849230701500515","doi-asserted-by":"publisher","DOI":"10.1016\/S0003-4975(10)66242-X"},{"key":"bibr2-021849230701500515","first-page":"238","volume":"48","author":"Bokhandi SS","year":"2002","journal-title":"J Postgrad Med"},{"key":"bibr3-021849230701500515","doi-asserted-by":"publisher","DOI":"10.1016\/j.mehy.2005.09.013"},{"key":"bibr4-021849230701500515","doi-asserted-by":"publisher","DOI":"10.1007\/BF02723241"},{"key":"bibr5-021849230701500515","first-page":"35","volume":"53","author":"Padmavati S","year":"2001","journal-title":"Indian Heart J"},{"key":"bibr6-021849230701500515","first-page":"158","volume":"55","author":"Jose VJ","year":"2003","journal-title":"Indian Heart J"},{"key":"bibr7-021849230701500515","first-page":"232","volume":"47","author":"Thakur JS","year":"1995","journal-title":"Indian Heart J"},{"key":"bibr8-021849230701500515","first-page":"1401","volume-title":"Cardiac surgery: morphology, diagnostic criteria, natural history, techniques, results, and indications","author":"Kirklin JW","year":"2003","edition":"3"}],"container-title":["Asian Cardiovascular and Thoracic Annals"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/021849230701500515","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/full-xml\/10.1177\/021849230701500515","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/journals.sagepub.com\/doi\/pdf\/10.1177\/021849230701500515","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,4,28]],"date-time":"2026-04-28T15:13:23Z","timestamp":1777389203000},"score":1,"resource":{"primary":{"URL":"https:\/\/journals.sagepub.com\/doi\/10.1177\/021849230701500515"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,10]]},"references-count":8,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2007,10]]}},"alternative-id":["10.1177\/021849230701500515"],"URL":"https:\/\/doi.org\/10.1177\/021849230701500515","relation":{},"ISSN":["0218-4923","1816-5370"],"issn-type":[{"value":"0218-4923","type":"print"},{"value":"1816-5370","type":"electronic"}],"subject":[],"published":{"date-parts":[[2007,10]]}}}