@article { author = {Alizadehasl, Azin and Ghadrdoost, Behshid and Amin, Ahmad and Behjati, Mohaddeseh}, title = {Multiple Ruptured Chordae in an Amphetamine-Addicted Woman: A Rare Manifestation of Illicit Drugs}, journal = {Iranian Heart Journal}, volume = {20}, number = {2}, pages = {81-84}, year = {2019}, publisher = {Iranian Heart Association}, issn = {}, eissn = {}, doi = {}, abstract = {A 48-year-old woman presented to our hospital with exacerbating cyanosis, edema, lethargy, and dyspnea. The patient declared amphetamine usage until 3 days earlier. Her respiratory function deteriorated gradually, resulting in intubation. During the hospitalization course, she became febrile with a positive blood culture due to an infected central venous catheter. Transesophageal echocardiography revealed a normal left ventricular systolic function, severe left ventricular hypertrophy, and a severe pulmonary arterial hypertension. We found multiple ruptured chordae, resulting in a flail mitral valve and severe mitral regurgitation. To the best of our knowledge, this is the first report of multiple ruptured chordae in the setting of amphetamine intoxication. }, keywords = {Amphetamine,Flail mitral valve,Ruptured chordate}, url = {http://journal.iha.org.ir/article_85678.html}, eprint = {http://journal.iha.org.ir/article_85678_27149700628a55ec609f459d7055695d.pdf} }