Hagay Z J, Weissman A, Geva D, Snir E, Caspi A
Department of Obstetrics and Gynecology, Kaplan Hospital, Rehovot, Israel.
Am J Perinatol. 1995 Mar;12(2):111-2. doi: 10.1055/s-2007-994418.
Acute mitral regurgitation due to ruptured chordae tendineae is a dramatic and life-threatening clinical situation. Rarely does this complication occur during pregnancy. We present a case of a 30-year-old woman in week 31 of her pregnancy who developed acute mitral regurgitation, secondary to bacterial endocarditis and ruptured chordae tendineae. This acute event resulted in preterm labor a few hours later. Delivery was uneventful and successful and was followed by open heart surgery 5 days later. A review of the literature on chordae tendineae rupture and resulting mitral regurgitation during pregnancy is presented.
腱索断裂所致急性二尖瓣反流是一种危急且危及生命的临床情况。这种并发症在孕期很少发生。我们报告一例30岁女性，在其妊娠31周时发生急性二尖瓣反流，继发于细菌性心内膜炎和腱索断裂。这一急性事件在数小时后导致早产。分娩过程顺利且成功，5天后接受了心脏直视手术。本文对孕期腱索断裂及由此导致的二尖瓣反流的文献进行了综述。
