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http://onlinelibrary.wiley.com/doi/10.1111/echo.12532/full
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Rheumatic tricuspid valve disease (RTVd) remains uncommon. When present, it is almost always associated with rheumatic mitral valve disease (RMVd). Previously reported to occur in 2–22% of patients with RMVd, it appears to be less common today.[1-4] A reported incidence of RTVd in patients with RMVd was 9.5% (14 of 147) in 1984, from a North American medical center
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