General Medical issues thread

I looked after a patient that had 5 operations on the same valve. The first 2 were repair operations in 1948 and 1954 as there were no valve replacements available. They didn’t even have angiogram or echocardiograms to help diagnose but relied on clinical signs.They were done at RPAH. She was just under 20 but the valve problem was due to rheumatic fever
 
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