Acute Rupture of Chordae Tendineae of the Mitral Valve in Infants A Nationwide Survey in Japan Exploring a New Syndrome Running title: Shiraishi et al.; Rupture of mitral chordae tendineae in infants

نویسندگان

  • Isao Shiraishi
  • Masataka Kitano
  • Kenichi Kurosaki
  • Toshio Nakanishi
  • Hiroyuki Yamagishi
  • Koichi Sagawa
چکیده

Dept of Pediatric Cardiology, National Cerebral and Cardiovascular Center, Osaka; Dept of Preventive Cardiology, National Cerebral and Cardiovascular Center, Osaka; Dept of Cardiology, National Center for Child Development and Growth, Tokyo; Dept of Pediatric Cardiology, Tokyo Women’s Medical University, Tokyo; Dept of Pediatrics, Keio University School of Medicine, Tokyo; Dept of Cardiology, Fukuoka Children’s Hospital, Fukuoka; Dept of Clinical Pathology, National Cerebral and Cardiovascular Center, Osaka; Dept of Bioscience and Genetics, National Cerebral and Cardiovascular Center, Osaka; Dept of Pediatric Cardiac Surgery, National Cerebral and Cardiovascular Center, Osaka, Japan

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Acute rupture of chordae tendineae of the mitral valve in infants: a nationwide survey in Japan exploring a new syndrome.

BACKGROUND Recently, infant cases of acute heart failure attributable to rupture of the mitral chordae tendineae have been reported. However, little is known about the pathogenesis and clinical course of this condition. METHODS AND RESULTS Ninety-five children with rupture of mitral chordae tendineae were identified in nationwide surveys of Japan diagnosed from 1995 to 2013. The clinical mani...

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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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Nonrheumatic Mitral Insufficiency

Twenty patients with mitral insufficiency (MI) due to ruptured chordae tendineae, papillary muscle infarction, or left ventricular enlargement with no organic disease of the mitral valve have been studied during the past 3 years. Nineteen had valve replacement, and one had plastic repair of ruptured chordae tendineae; all have been followed from 6 months to 3 years. Preoperative data were diffe...

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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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Value of exploratory "scanning" in the echocardiographic diagnosis of ruptured chordae tendineae.

Echocardiographic diagnosis of rupture of the chordae tendineae to the anterior and posterior leaflets of the mitral valve may be difficult to make. Two patients, one with rupture of chordae tendineae to the posterior leaflet and the other with rupture of chordae tendineae to the anterior leaflet of the mitral valve, are reported to illustrate the use of an exploratory "continuous scanning" tec...

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تاریخ انتشار 2014