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.
This content is limited to qualifying members.
If you have an existing account please login now to access this article or view purchase options.
Create a free account, then purchase this article to download or access it online for 24 hours.
Create a free account, then purchase a subscription to get complete access to all articles for a full year.
References
References 1. Homans DC. Peripartum cardiomyopathy. N Engl J Med 1985; 312: 1432–1437.HomansDCPeripartum cardiomyopathyN Engl J Med19853121432 2. Robson SC, Hunter S, Boys RJ, Dunlop W. Serial study of factors influencing changes in cardiac output during human pregnancy. Am J Physiol 1989; 256: H1060–H1065.RobsonSC]]HunterS]]BoysRJ]]DunlopWSerial study of factors influencing changes in cardiac output during human pregnancyAm J Physiol1989256H1060 3. Campos O, Andrade JL, Bocanegra J, Ambrose JA, Carvalho AC, Harada K, et al. Physiologic multivalvular regurgitation during pregnancy: A longitudinal Doppler echocardiographic study. Int J Cardiol 1993; 40: 265–272.CamposO]]AndradeJL]]BocanegraJ]]AmbroseJA]]CarvalhoAC]]HaradaKPhysiologic multivalvular regurgitation during pregnancy: A longitudinal Doppler echocardiographic studyInt J Cardiol199340265 4. Roth A, Shotan A, Elkayam U. A randomized comparison between the hemodynamic effects of hydralazine and nitroglycerin alone and in combination at rest and during isometric exercise in patients with chronic mitral regurgitation. Am Heart J 1993; 125: 155–163.RothA]]ShotanA]]ElkayamUA randomized comparison between the hemodynamic effects of hydralazine and nitroglycerin alone and in combination at rest and during isometric exercise in patients with chronic mitral regurgitationAm Heart J1993125155 5. Spain MG, Smith MD, Kwan OL, DeMaria AN. Effect of isometric exercise on mitral and aortic regurgitation as assessed by color Doppler flow imaging. Am J Cardiol 1990; 65: 78–83.SpainMG]]SmithMD]]KwanOL]]DeMariaANEffect of isometric exercise on mitral and aortic regurgitation as assessed by color Doppler flow imagingAm J Cardiol19906578 6. Hagay ZJ, Weissman A, Geva D, Snir E, Caspi A. Labor and delivery complicated by acute mitral regurgitation due to ruptured chordae tendineae. Am J Perinatol 1995; 12: 111–112.HagayZJ]]WeissmanA]]GevaD]]SnirE]]CaspiALabor and delivery complicated by acute mitral regurgitation due to ruptured chordae tendineaeAm J Perinatol199512111