The gold standard treatment of degenerative mitral valve disease remains surgical repair. The classic repair described by Dr. Carpentier (1) with leaflet resection and annuloplasty remains the primary technique for mitral repair. Other techniques such as the “American correction” (2) or artificial chordae have been introduced with similar success rates. Innovations in surgical approach over the...

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...

To cite: Steger CM. BMJ Case Rep Published online: [please include Day Month Year] doi:10.1136/bcr-2015211943 DESCRIPTION A 65-year-old man with a medical history of rheumatic fever in childhood reported thoracic pain while at work and collapsed. He died in the ambulance on the way to hospital due to ventricular fibrillation. After the few episodes of rheumatic fever with subsequent pancarditis...

BACKGROUND The accuracy of echocardiography versus surgical and pathological classification of patients with ruptured mitral chordae tendineae (RMCT) has not yet been investigated with a large study. METHODS Clinical, hemodynamic, surgical, and pathological findings were reviewed for 242 patients with a preoperative diagnosis of RMCT that required mitral valvular surgery. Subjects were consec...

BACKGROUND Artificial chordae replacement is an effective technique for mitral valve repair, however, it is difficult to accurately determine the length of artificial chordae. This study aimed to assess the reliability and accuracy of real-time three-dimensional transesophageal echocardiography (TEE) to predict the length of artificial chordae preoperatively. METHODS From December 2008 to Dec...

A new clinical entity is described in which free aortic regurgitation from congenital aortic valve disease caused rupture of the chordae to the anterior leaflet of the mitral valve in 7 men aged 45 to 63 years (mean 52 years); 2 of the patients also had rupture of chordae to the posterior leaflet. Comparing these patients with those with ruptured mitral chordae in association with rheumatic he...

A rare type of congenital mitral regurgitation is presented for the first time as an isolated cardiac anomaly. The malformation consists of a particular arrangement of the chordae tendineae of the posterior leaflet: the chordae, leaving the free margin or the undersurface, insert into the latter once again. A definition of the anomaly and a classification of all the chordal anomaliesfound in co...

background: left ventricular (lv) twist is due to oppositely directed apical and basal rotation and has been proposed as a sensitive marker of lv function. we sought to assess the impact of chronic pure mitral regurgitation (mr) on the torsional mechanics of the left human ventricle using tissue doppler imaging. methods: nineteen severe mr patients with a normal lv ejection fraction and 16 non-...