MITRAL stenosis, with congestive heart failure and endocarditis.

Abstract

COMMITTEE ON MATERNAL WELFAREMitral Stenosis, with Congestive Heart Failure and EndocarditisA twenty-eight-year-old gravida 1 visited a physician at four months of gestation but did not realize she was pregnant. There was no history of serious illness in the past, and she was working as a saleswoman.Besides an apparently normal intra-uterine pregnancy, physical examination showed the heart to be enlarged to the left, with a diastolic mitral murmur at the mid-sternum transmitted throughout the chest and an "aortic regurgitated murmur" that was "whistling" and was transmitted to the neck. There was no dyspnea, orthopnea or edema. The patient . . .