BACKGROUND Primary intra cardiac tumors are rare. In this article, we present papillary fibroelastoma of mitral valve chordae. CASE PRESENTATION A 35-year old man presented with atypical chest pain and palpitation. Physical examination and electrocardiogram were normal. Transesophageal echocardiography (TEE) revealed a mass of 1015 mm attached to chordae of anteromedial papillary muscle of mi...

Spontaneous chordae rupture of the tricuspid valve is relatively rare, unlike the mitral valve. We present a 27-year-old male with chronic renal failure on hemodialysis therapy for treatment of parathyroid adenoma. The echocardiography showed the severe tricuspid regurgitation with chordae rupture which was not noted 1 year ago. In addition, the papillary muscle of both mitral and tricuspid val...

The anterior leaflet of the mitral valve is partly continuous through a fibrous membrane with the aortic valve. Lying immediately subjacent to the aortic valve, the mitral valve and its chordae may become secondarily infected in instances of primary aortic valvular bacterial endocarditis. Destructive changes of the anterior mitral leaflet or mitral chordae may lead to mitral insufficiency. The ...

Mitral valve insufficiency is frequently the result of elongated or ruptured chordae tendineae. Several techniques have been described for its correction. However, when there is a severe elongation or rupture of the chordae, the most widely accepted treatment option has been valve replacement. The best long-term outcomes observed in conservative surgeries led us to choose this procedure rather ...

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...

Left ventricular cineangiography was performed in 37 patients with mitral regurgitation. Twenty-one patients had rheumatic mitral valve disease determined by careful surgical and pathologic examination, 10 had papillary muscle dysfunction, and six had chordae tendineae rupture. Fourteen of the 16 patients considered to have nonrheumatic mitral regurgitation were confirmed surgically; the other ...

OBJECTIVE The objective of this study was to evaluate, using echocardiography, the functioning of the mitral valve apparatus in patients submitted to standardized bovine pericardium chordae implantation to substitute ruptured chordae tendineae or elongated chordae with a significant degree of thinning. METHOD Standardized bovine pericardium chordae were implanted in 23 patients with mitral va...

In patients with active infective endocarditis mitral valve repair is better than mitral valve replacement, but it remains a challenge when there has been massive destruction of the rough zone of the anterior leaflet. We report a technical modification of mitral valve repair for advanced active infective endocarditis in which a widely infected rough zone and the chordae were successfully replac...

Tlhirty-seven patients with non-rheumatic subvalvar mitral regurgitation are reported, representing 16% of all patients with mitral regurgitation submitted to open operation over a five-and-a-halfyear period. In 22 older patients with 'idiopathic' chordal lesions, the commonest finding was rupture of chordae to the posterior leaflet. The aortic leaflet chordae were most frequently involved foll...

OBJECTIVE To evaluate pediatric atrioventricular valve repair with artificial chordae. METHODS Between February 2001 and January 2006, artificial chords were used in 21 children with severe mitral or tricuspid valve regurgitation. Patients with AVSD were excluded. Median age was 84 (1-194) months. Five patients had isolated tricuspid valve anomalies, 16 had mitral valve anomalies (associated ...