| Acute congestive heart failure due to ruptured mitral chordae tendineae in late pregnancy. | |
| | |
MedLine Citation:
|
PMID: 23106781 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
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. |
| | |
Authors:
|
Sugiko Ohishi; Hayase Nitta; Yukiko Chinen; Tadatsugu Kinjo; Hitoshi Masamoto; Kaoru Sakumoto; Tatsuya Maeda; Yukio Kuniyoshi; Yoichi Aoki |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-10-29 |
Journal Detail:
|
Title: The journal of obstetrics and gynaecology research Volume: - ISSN: 1447-0756 ISO Abbreviation: J. Obstet. Gynaecol. Res. Publication Date: 2012 Oct |
Date Detail:
|
Created Date: 2012-10-30 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 9612761 Medline TA: J Obstet Gynaecol Res Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
© 2012 The Authors. Journal of Obstetrics and Gynaecology Research © 2012 Japan Society of Obstetrics and Gynecology. |
Affiliation:
|
Department of Obstetrics and Gynecology, University of the Ryukyus, Okinawa, Japan. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Experimental and Computational Studies on the Inhibition of Acetylcholinesterase by Curcumin and Som...
Next Document: Expression of Aquaporin Water Channels in Equine Endometrium is Differentially Regulated During the ...