title: Relationship between mitral valve regurgitant flow and peripartum change in systemic vascular resistance.
abstract: Mitral regurgitation is usually tolerated well in pregnancy, mainly because of left ventricular unloading due to the physiologic decrease in systemic vascular resistance (SVR). We report the case of a patient with mitral regurgitation who had pulmonary edema soon after delivery, which likely was due to a sudden increase in SVR. The sudden changes in SVR should be added to the differential diagnosis when pulmonary edema occurs after delivery in patients with mitral regurgitation.
authors.affiliation: Division of Critical Care Medicine, Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA, USA.
authors.forename: Homayoun
authors.initials: H
authors.lastname: Khanlou
authors.forename: Négar
authors.initials: N
authors.lastname: Khanlou
authors.forename: Glenn
authors.initials: G
authors.lastname: Eiger
mesh_terms: D000328:Adult; D005260:Female; D006801:Humans; D008944:Mitral Valve Insufficiency / Q000150:complications*; D011247:Pregnancy; D011249:Pregnancy Complications, Cardiovascular; D011644:Puerperal Disorders / Q000209:etiology*; D011654:Pulmonary Edema / Q000209:etiology*; D014655:Vascular Resistance