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Am J Perinatol 1995; 12(2): 111-112
DOI: 10.1055/s-2007-994418
ORIGINAL ARTICLE

© 1995 by Thieme Medical Publishers, Inc.

Labor and Delivery Complicated by Acute Mitral Regurgitation Due to Ruptured Chordae Tendineae

Zion J. Hagay, Ariel Weissman, Daniel Geva, Eitan Snir, Avi Caspi
  • Maternal-Fetal Medicine Unit, Department of Obstetrics and Gynecology, Department of Cardiothoracic Surgery, Respiratory Intensive Care Unit, Kaplan Hospital, Rehovot, Affiliated with Hadassah School of Medicine, Jerusalem, Israel
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Publication Date:
04 March 2008 (online)

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ABSTRACT

Acute mitral regurgitation due to ruptured chordae tendineae is a dramatic and life-threatening clinical situation. Rarely does this complication occur during pregnancy. We present a case of a 30-year-old woman in week 31 of her pregnancy who developed acute mitral regurgitation, secondary to bacterial endocarditis and ruptured chordae tendineae. This acute event resulted in preterm labor a few hours later. Delivery was uneventful and successful and was followed by open heart surgery 5 days later. A review of the literature on chordae tendineae rupture and resulting mitral regurgitation during pregnancy is presented.

Keywords

Chordae tendineae rupture - mitral regurgitation - bacterial endocarditis - pregnancy