Letter to the Editor

Post-partum Hemodynamics in Mitral Insufficiency

Authors: Richard P. Perkins, MD

Abstract

In their article outlining potential consequences of postpartum hemodynamics in mitral insufficiency, Khanlou et al 1 rightly underscored the importance of puerperal increases in systemic vascular resistance (SVR). Their patient experienced difficulties on postpartum Day 7, including an increase in SVR associated with increased mitral valve regurgitation, left atrial enlargement, and pulmonary venous congestion. Their patient responded rapidly to diuresis and supportive care.

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References

1. Khanlou H, Khanlou N, Eiger G. Relationship between mitral valve regurgitant flow and peripartum change in systemic vascular resistance. South Med J 2003; 96: 308–309.