An unusual case of peripartum ruptured mitral valve

Nakash, A.; Arafa, Ayman; Vrapi, F; Zaid, R. Zeirideen

doi:10.3109/01443610903182854

Cited by 3 publications

(5 citation statements)

References 3 publications

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“…Nakash et al . also commented that there was no documented underlying cause; apart from being pregnant, increased cardiac output and the valvular softening was the closest explanation . We were unable to determine a definite underlying cause other than pregnancy in our patient.…”

Section: Discussionmentioning

confidence: 77%

“…Nakash et al also commented that there was no documented underlying cause; apart from being pregnant, increased cardiac output and the valvular softening was the closest explanation. 6 We were unable to determine a definite underlying cause other than pregnancy in our patient. The possible explanation for this rare complication is increased cardiac output and softening of the valvular leaflets and chordae due to the hormonal changes during pregnancy, as suggested by Caves et al 5 Actually, cardiac surgeons of our hospital followed the patient after the cardiac surgery in their outpatient ward and she is well without any difficulties in daily life.…”

Section: Discussionmentioning

confidence: 78%

“…In three of these cases, infectious endocarditis (IE) was an underlying secondary cause . In the remaining two cases, pregnancy and labor were associated with the rupture without any other causes . The identified causes of acute mitral regurgitation due to rupture of chordae tendineae are primary, spontaneous, and secondary.…”

Section: Introductionmentioning

confidence: 99%

“…[2][3][4] In the remaining two cases, pregnancy and labor were associated with the rupture without any other causes. 5,6 The identified causes of acute mitral regurgitation due to rupture of chordae tendineae are primary, spontaneous, and secondary. Possible causes include IE, congenital, rheumatic, or ischemic heart disease, Marfan syndrome, osteogenesis imperfect, connective tissue diseases, hypertrophic obstructive cardiomyopathy, Ehlers-Danlos syndrome, previous mitral valve surgery, blunt trauma, and pregnancy.…”

Section: Introductionmentioning

confidence: 99%

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

Ohishi

Nitta

Chinen

et al. 2012

J of Obstet and Gynaecol

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A 31-year-old woman complained of dyspnea and orthopnea at 38 weeks of gestation. A grade 3/6 pansystolic murmur was 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.

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Section: Discussionmentioning

confidence: 77%

Section: Discussionmentioning

confidence: 78%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

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

Ohishi

Nitta

Chinen

et al. 2012

J of Obstet and Gynaecol

View full text Add to dashboard Cite

show abstract

“…[4,5,6] while in others, no specific aetiology other than pregnancy and labour was identified. [1,2,3] Hormonal changes in pregnancy might be responsible for chordal rupture, and also softening of the mitral leaflets as well as the mitral annulus. Additionally, the increase in cardiac output in pregnancy might contribute to the crisis.…”

Section: Discussionmentioning

confidence: 99%