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.
Chordae tendineae rupture - mitral regurgitation - bacterial endocarditis - pregnancy