Figure 1.

Timeline Displaying Clinical Progression of RHD as Related to Our Case Presentation

ADHF = acute decompensated heart failure; ARF = acute rheumatic fever; ASO = anti-streptolysin O; AF = atrial fibrillation; AI = aortic insufficiency; AS = aortic stenosis; LVEF = left ventricular ejection fraction; MR = mitral regurgitation; MS = mitral stenosis; MVA = mitral valve area; MVR = mitral valve replacement; PASP = pulmonary artery systolic pressure; GAS = group A streptococcus; TTE = transthoracic echocardiogram.