title: Labor and delivery complicated by acute mitral regurgitation due to ruptured chordae tendineae.
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.
authors.affiliation: Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel.
authors.forename: Z J
authors.initials: ZJ
authors.lastname: Hagay
authors.forename: A
authors.initials: A
authors.lastname: Weissman
authors.forename: D
authors.initials: D
authors.lastname: Geva
authors.forename: E
authors.initials: E
authors.lastname: Snir
authors.forename: A
authors.initials: A
authors.lastname: Caspi
mesh_terms: D000208:Acute Disease; D000328:Adult; D002815:Chordae Tendineae; D004697:Endocarditis, Bacterial / Q000150:complications; D005260:Female; D006341:Heart Rupture / Q000175:diagnosis / Q000209:etiology; D006801:Humans; D007231:Infant, Newborn; D008297:Male; D008944:Mitral Valve Insufficiency / Q000175:diagnosis / Q000209:etiology; D007752:Obstetric Labor, Premature; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular / Q000175:diagnosis; D011251:Pregnancy Complications, Infectious; D013290:Streptococcal Infections / Q000150:complications