Acute congestive heart failure due to ruptured mitral chordae tendineae in late pregnancy

Sugiko Ohishi, Hayase Nitta, Yukiko Chinen, Tadatsugu Kinjo, Hitoshi Masamoto, Kaoru Sakumoto, Tatsuya Maeda, Yukio Kuniyoshi, Yoichi Aoki

Research output: Contribution to journalArticlepeer-review

3 Citations (Scopus)

Abstract

A 31-year-old woman complained of dyspnea and orthopnea at 38 weeks of gestation.A grade 3/6 pansystolic murmurwas heard, and echocardiography revealed severe mitral regurgitation with a hyperechoic obstacle on the posterior mitral valve leaflet, consistent with a diagnosis of acute heart failure due to a ruptured chordae tendineae or an infectious endocarditis. An emergency cesarean section was performed under general anesthesia. A male infant was born weighing 2928 g with Apgar scores of 7 and 8 at 1 and 5 min, respectively. The patient was managed in the intensive care unit and underwent open-heart surgery for mitral valve repair on postpartum day 3. The two chordal tendineae appeared torn and frail, and a mitral annuloplasty was performed. No finding of infectious endocarditis was observed. Because it is a dramatic and life-threatening clinical situation, proper diagnosis and treatment in the intensive care unit assure a good outcome for both mother and fetus.

Original languageEnglish
Pages (from-to)724-726
Number of pages3
JournalJournal of Obstetrics and Gynaecology Research
Volume39
Issue number3
DOIs
Publication statusPublished - Mar 2013
Externally publishedYes

All Science Journal Classification (ASJC) codes

  • Obstetrics and Gynaecology

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