Title: Case Report: Acute Chordae Tendineae Rupture and Mitral Regurgitation in Pregnancy
Authors: Dr Sachin Ajit Kumar Adukia, Dr Arundhati Girish Diwan, Dr Chandrakant Chavan
DOI: https://dx.doi.org/10.18535/jmscr/v4i10.108
Abstract
A 29 year old woman complained of breathlessness, chest pain and palpitations at 36 weeks of gestation. A pansystolic murmur alongwith bilateral basal crepitations were heard on auscultation. Echocardiography revealed a thickened anterior mitral leaflet with doming and a fixed posterior mitral leaflet. It also revealed chordae tendineae rupture. These findings were consistent with the diagnosis of acute heart failure due to ruptured chordae tendineae. An elective caesarean section was performed under general anaesthesia and a female child of 1.67kgs was born. The patient subsequently recovered and was discharged. Though acute heart failure in pregnancy may be life threatening, proper diagnosis and treatment in the ICU can assure a good outcome.
KEYWORDS:- Acute LVF, mitral valve edema.
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