A case of acute mitral regurgitation due to ruptured chordae tendineae, showed unilateral diffuse pulmonary infiltration

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  • 片側性びまん性陰影をきたし，診断に苦慮した僧帽弁腱索断裂による急性僧帽弁閉鎖不全の１乳児例

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Abstract

We reported a case of mitral regurgitation due to ruptured chordae tendineae, showed unilateral diffuse pulmonary infiltration on chest X-ray film on admission. Five-month-old boy was transferred to our hospital because of severe respiratory distress. He had vomiting and cough before progression of respiratory distress and initial diagnosis was aspiration pneumonia. We treated him with antibiotics and respiratory support, including mechanical ventilation, but his cardiopulmonary condition became worse. Three dimensional echocardiography revealed mitral regurgitation due to ruptured chordae tendineae as the cause of heart failure. His condition finally recovered after mitral valve plasty and mitral plication. We concluded that such a cardiogenic mechanism should be reminded in cases with unilateral diffuse pulmonary infiltration.

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