Key result
Medical management and elective caesarean successfully treat acute HF from severe MR during pregnancy.
Case Report (n=1)
No
Acute heart failure due to chordae tendineae rupture in pregnancy can be successfully managed with prompt medical therapy and elective delivery.
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May guide individualized care in rare peripartum mitral emergencies; hypothesis-generating and requires prospective validation before practice change.
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.
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Dr Sachin Ajit Kumar Adukia (2016) conducted a case report in Acute chordae tendineae rupture and mitral regurgitation in pregnancy (n=1). Medical management and elective caesarean section was evaluated on Clinical recovery and delivery outcome. Medical management and elective caesarean section successfully treated a 29-year-old pregnant woman presenting with acute heart failure due to ruptured chordae tendineae and severe mitral regurgitation.
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