Background: Overall prevalence rate of rheumatic heart disease determine near about 1.5-2/1000 in all age groups, in India near about 2.0 to 2.5 million rheumatic heart disease patients in the country. In rheumatic heart disease,heart valves have been permanently damaged by rheumatic fever due to bacterial streptococcal infection. In rheumatic heart disease,the heart valve is permanently damaged due to may under-treated or untreated streptococcal infection, such as strep throat or scarlet fever. In this condition, patients have infection and inflammation due to a lack of immune response inthe human body. This can result in ongoing heart valve damage. Case presentation: A 35-years old female was admitted to Acharya Vinoba Bhave Rural Hospital on dated 7/10/021 with chief complaints of breathlessness on exertion foronemonth, rheumatic fever, joint pain, weakness, nausea vomiting. She has the same complaints in 2005. There is no history of diabetes mellitus, hypertension, thyroid, or tuberculosis. The patient obstetric history was not good. For that, she has taken treatment in another hospital but now she is admitted to Acharya Vinoba Bhave Rural Hospital for the above complaints. After physical examination, blood and radiological investigation doctor identify a case of rheumatic heart disease with severe mitral valve stenosis. Conservative management: Medical treatment started such as Tab. Lasilactone, tab. Digoxin, Inj. Heparin, and Tab.Paracetamol was given and all treatment was given under the supervision of an expert physician result was good. Mitral valve replacement (with replacement) surgery was done by an authorized person. Conclusion: After surgery patient was stable and he was recovered earlier. Due to expert team management and good nursing care patientsare discharged from the hospital with satisfaction.

Mitral valve stenosis, Rheumatic heart disease, Breathlessness, rheumatic fever