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Prem Chopra, MD; Haricharan Das Tandon, MD; Veena Raizada, MD; N. Gopinath, MD; Cooley Butler, MD; Ralph C. Williams, Jr, MD

Arch Intern Med. 1983;143(4):661-666.

Abstract
• Mitral valve tissues from 195 patients with rheumatic heart disease removed at the time of cardiac surgery were studied by conventional histologic techniques. One hundred seven patients from a five-year period at All-India Institute for Medical Sciences in New Delhi were studied in conjunction with 88 patients undergoing cardiac surgery in Albuquerque during a similar period. In Indian patients a correlation was noted between degree of moderate or severe valvular calcification and extent of adjacent valvular mononuclear cellular infiltration often consisting of striking lymphocytic-plasma cell collections. Similar distinct correlations were not observed among the mitral valves from the Albuquerque patients. It is possible that mitral valve mononuclear cell infiltrates among Indian patients may reflect a chronic immune reaction influencing the natural course of rheumatic heart disease in this latter population.

(Arch Intern Med 1983;143:661-666)

Author Affiliations
From the Departments of Medicine (Drs Raizada and Williams) and Pathology (Dr Butler), the University of New Mexico School of Medicine, Albuquerque; and the Departments of Pathology (Drs Chopra and Tandon) and Thoracic Surgery (Dr Gopinath), All-India Institute of Medical Sciences, New Delhi.

Footnotes
Accepted for publication Oct 29, 1982.

Reprint requests to Department of Medicine, 7 South, University of New Mexico School of Medicine, Albuquerque, NM 87131 (Dr Williams).

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