Khanlou Homayoun, Khanlou Négar, Eiger Glenn
Division of Critical Care Medicine, Department of Medicine, Albert Einstein Medical Center, Philadelphia, PA, USA.
South Med J. 2003 Mar;96(3):308-9. doi: 10.1097/01.SMJ.0000054228.09147.4E.
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.
二尖瓣反流在妊娠期间通常耐受性良好，主要是因为全身血管阻力（SVR）生理性降低导致左心室负荷减轻。我们报告了一例二尖瓣反流患者，该患者在分娩后不久发生了肺水肿，这可能是由于SVR突然升高所致。对于二尖瓣反流患者，分娩后发生肺水肿时，应将SVR的突然变化纳入鉴别诊断。
