Acute Heart Failure Due to Idiopathic Rupture of the Mitral Valve Chordae Tendineae in an Infant

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  • MATSUDA AKINA
    Department of Pediatrics, Juntendo University Faculty of Medicine Department of Pediatrics, Juntendo Nerima Hospital
  • FUKUNAGA HIDEO
    Department of Pediatrics, Juntendo University Faculty of Medicine
  • TOBAYAMA HISAKO
    Department of Pediatrics, Juntendo Nerima Hospital
  • NAKANISHI KEISUKE
    Department of Cardiovascular Surgery, Juntendo University Faculty of Medicine
  • FURUKAWA TAKESHI
    Department of Pediatrics, Juntendo University Faculty of Medicine
  • TAKAHASHI KEN
    Department of Pediatrics, Juntendo University Faculty of Medicine
  • OTOMO YOSHIYUKI
    Department of Pediatrics, Juntendo Nerima Hospital
  • KAWASAKI SHIORI
    Department of Cardiovascular Surgery, Juntendo University Faculty of Medicine
  • SHIMIZU TOSHIAKI
    Department of Pediatrics, Juntendo University Faculty of Medicine
  • NIIJIMA SHINICHI
    Department of Pediatrics, Juntendo Nerima Hospital

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  • Case Reports : Acute Heart Failure Due to Idiopathic Rupture of the Mitral Valve Chordae Tendineae in an Infant

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Abstract

<p>　A 7-month-old boy presented to the hospital with fever, vomiting, and appetite loss and was admitted with a diagnosis of dehydration due to gastroenteritis. Although he stopped drinking and eating, he continued to vomit. The day after admission, systolic murmur, tachypnea, and retractive breathing appeared, and echocardiography showed mitral regurgitation resulting from chordal rupture. Although the vomiting and pleural effusion were improved with medical therapy, retractive breathing persisted. Mitral valve plastic surgery was performed. Mitral valve chordal rupture in infants is rare and presents with nonspecific symptoms. Because most patients need surgical treatment, early and appropriate diagnosis is necessary.</p>

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