Death of a relative 1949

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Hi Everyone

I am new to this forum and am wondering if anyone is able to help me

I have a relative who died in 1949 and on the death certificate it reads

1a Subacute Bacterial Endocarditis

b Mitral Stenosis Aortic Incompetence

c Rheumatic Carditis

I hope someone is able to explain what these items are especially all being found at once

thank you for your time in advance

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