SURGICAL CORRECTION OF RUPTURED 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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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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The Clinical Diagnosis and Surgical Management of Ruptured Mitral Chordae Tendineae.

A wvhite shoe salesman first entered University Hospitals of Cleveland at age 61 stating that he had been rejected from the armed services 23 years previously and that 21 years ago life insurance had been refused because of a heart murmur. He denied having rheumatic fever or other febrile illnesses. His only memory of trauma was being thrown over the handlebars of his bicycle at age 12. From ag...

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Two-dimensional echocardiographic recognition of ruptured chordae tendineae.

Real-time, phased-array, two-dimensional echocardiographic studies identified ruptured chordae tendineae in five patients: four patients had a flail mitral valve and one had flail mitral and tricuspid valves. The characteristic abnormality was a rapid systolic motion of the involved leaflet beyond the line of valve closure into the atrium. The maximal abnormal systolic motion was greatest at th...

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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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ژورنال

عنوان ژورنال: The Journal of Thoracic and Cardiovascular Surgery

سال: 1964

ISSN: 0022-5223

DOI: 10.1016/s0022-5223(19)33360-4