{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,17]],"date-time":"2026-02-17T02:09:26Z","timestamp":1771294166527,"version":"3.50.1"},"reference-count":6,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2012,10,29]],"date-time":"2012-10-29T00:00:00Z","timestamp":1351468800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["J of Obstet and Gynaecol"],"published-print":{"date-parts":[[2013,3]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>A 31\u2010year\u2010old woman complained of dyspnea and orthopnea at 38 weeks of gestation. A grade 3\/6 pansystolic murmur was heard, and echocardiography revealed severe mitral regurgitation with a hyperechoic obstacle on the posterior mitral valve leaflet, consistent with a diagnosis of acute heart failure due to a ruptured chordae tendineae or an infectious endocarditis. An emergency cesarean section was performed under general anesthesia. A male infant was born weighing 2928\u2009g with <jats:styled-content style=\"fixed-case\">A<\/jats:styled-content>pgar scores of 7 and 8 at 1 and 5\u2009min, respectively. The patient was managed in the intensive care unit and underwent open\u2010heart surgery for mitral valve repair on postpartum day 3. The two chordal tendineae appeared torn and frail, and a mitral annuloplasty was performed. No finding of infectious endocarditis was observed. Because it is a dramatic and life\u2010threatening clinical situation, proper diagnosis and treatment in the intensive care unit assure a good outcome for both mother and fetus.<\/jats:p>","DOI":"10.1111\/j.1447-0756.2012.02014.x","type":"journal-article","created":{"date-parts":[[2012,10,30]],"date-time":"2012-10-30T02:27:53Z","timestamp":1351564073000},"page":"724-726","source":"Crossref","is-referenced-by-count":4,"title":["Acute congestive heart failure due to ruptured mitral chordae tendineae in late pregnancy"],"prefix":"10.1111","volume":"39","author":[{"given":"Sugiko","family":"Ohishi","sequence":"first","affiliation":[{"name":"Department of Obstetrics and Gynecology University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hayase","family":"Nitta","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukiko","family":"Chinen","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tadatsugu","family":"Kinjo","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Hitoshi","family":"Masamoto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kaoru","family":"Sakumoto","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tatsuya","family":"Maeda","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery Graduate School of Medical Science University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yukio","family":"Kuniyoshi","sequence":"additional","affiliation":[{"name":"Department of Thoracic and Cardiovascular Surgery Graduate School of Medical Science University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yoichi","family":"Aoki","sequence":"additional","affiliation":[{"name":"Department of Obstetrics and Gynecology University of the Ryukyus  Okinawa Japan"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2012,10,29]]},"reference":[{"key":"e_1_2_4_2_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.50.4.312"},{"key":"e_1_2_4_3_1","doi-asserted-by":"publisher","DOI":"10.1016\/S0140-6736(66)92659-6"},{"key":"e_1_2_4_4_1","first-page":"137","article-title":"Ruptured chordae tendineae complicating pregnancy. A case report","volume":"32","author":"Castillo RA","year":"1987","journal-title":"J Reprod Med"},{"key":"e_1_2_4_5_1","doi-asserted-by":"publisher","DOI":"10.1055\/s-2007-994418"},{"key":"e_1_2_4_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/hrt.34.5.541"},{"key":"e_1_2_4_7_1","doi-asserted-by":"publisher","DOI":"10.3109\/01443610903182854"}],"container-title":["Journal of Obstetrics and Gynaecology Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1447-0756.2012.02014.x","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1111%2Fj.1447-0756.2012.02014.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1447-0756.2012.02014.x","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/j.1447-0756.2012.02014.x","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/j.1447-0756.2012.02014.x","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,9,8]],"date-time":"2023-09-08T01:10:31Z","timestamp":1694135431000},"score":1,"resource":{"primary":{"URL":"https:\/\/obgyn.onlinelibrary.wiley.com\/doi\/10.1111\/j.1447-0756.2012.02014.x"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2012,10,29]]},"references-count":6,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2013,3]]}},"alternative-id":["10.1111\/j.1447-0756.2012.02014.x"],"URL":"https:\/\/doi.org\/10.1111\/j.1447-0756.2012.02014.x","archive":["Portico"],"relation":{},"ISSN":["1341-8076","1447-0756"],"issn-type":[{"value":"1341-8076","type":"print"},{"value":"1447-0756","type":"electronic"}],"subject":[],"published":{"date-parts":[[2012,10,29]]}}}