An unusual complication in a patient with rheumatoid heart disease

C. Mallee, R.P. Wegener, J.J. Rasker

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A 48-year old man with severe rheumatoid arthritis is described, who died of acute mitral insufficiency and cardiac failure. At the postmortem the posterior papillary muscle was found to have been ruptured at the site of a rheumatoid granuloma. Other granulomas and scar tissue were found throughout the myocardium and endocardium, as well as extensive scelerosis of the right coronary artery. There was also non-specific myocarditis and fibrinous pericarditis. The literature is reviewed and diagnostic criteria are discussed.

Original languageEnglish
Pages (from-to)77-79
Number of pages3
JournalNetherlands journal of medicine
Issue number3
Publication statusPublished - 1 Dec 1979
Externally publishedYes


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