Ruptured Mitral Chordae Tendineae

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Ruptured mitral chordae tendineae.

AMONG THE LESIONS responsible for insufficiency of the mitral valve is rupture of the chordae tendineae. It is our purpose to describe the significant clinical and pathologic findings in 20 cases of insufficiency of the mitral valve due to rupture of the chordae tendineae. This report is based on those cases in which ruptured mitral chordae tendineae were found at necropsy at the Mayo Clinic du...

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Acute mitral regurgitation in pregnancy due to ruptured chordae tendineae.

Rupture of chordae tendineae resulting in acute mitral regurgitation has previously been described following rheumatic fever, subacute bacterial endocarditis, blunt chest trauma, and in Marfan's syndrome. Chordae may rupture spontaneously in older patients, producing a characteristic clinical syndrome, but such 'idiopathic' rupture is exceptional before the age of 50. This paper reports the occ...

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Ruptured Chordae Tendineae and Chronic Rheumatic Mitral Regurgitation

Twenty-five patients with proven ruptured mitral chordae tendineae and 25 patients with chronic rheumatic mitral regurgitation were studied with quantitative biplane left-heart angiocardiography. Compared to the rheumatic patients, the ruptured chordae group had strikingly smaller left atrial maximum volume (mean: 119 + 47 vs 267 + 131 mI/M2 mean) and less compliant left atrium (mean: 1.61 1.52...

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Echocardiographic diagnosis of mitral regurgitation due to ruptured chordae tendineae.

The echocardiographic findings from six patients with ruptured chordae tendineae from the posterial mitral valve leaflet and three with ruptured chordae from the anterior leaflet are reported; in all cases the diagnosis was later proven by openheart surgery. The constellation of echocardiographic findings suggesting iruptured chordae tendineae to the posterior leaflet are: (1) The appearance of...

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Repair of mitral incompetence secondary to ruptured chordae tendineae.

Twenty-two patients with ruptured chordae tendineae are presented. Etiology was rheumatic heart disease in seven patients, bacterial endocarditis in four patients, both rheumatic heart disease and endocarditis in two patients, trauma in one patient, and aortic regurgitation in one patient. Exact cause of rupture was unknown in seven patients. Plastic repair of the leaflet and/or posteromedial a...

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ژورنال

عنوان ژورنال: Circulation

سال: 1961

ISSN: 0009-7322,1524-4539

DOI: 10.1161/01.cir.23.1.42