A murmur of mitral regurgitation in patients with congestive heart failure after an acute myocardial infarction suggests a surgically correctable cause of the heart failure. Six patients who presented in this manner and who later underwent surgery have been evaluated by two-dimensional echocardiography (2DE). The underlying anatomical cause of the mitral regurgitation was correctly identified a...

A case of abnormal chordae of the mitral valve (MV) associated with systolic anterior motion (SAM) is not commonly encountered in clinical practice. Here we report MV repair via the edge-to-edge technique in a 56-year-old male with MV regurgitation associated with papillary muscle displacement and posterior leaflet prolapse. Echocardiography revealed obstruction of the left ventricular outflow ...

Mitral incompetence appearing in connexion with acute coronary heart disease without papillary muscle rupture has not received much attention until recently. Castex (1933) presented eight patients with electrocardiographic findings of inferior myocardial infarction and with an apical murmur of mitral incompetence as a distinct clinical syndrome. Nezlin and Shamesova (1951) paid attention to the...

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...

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...

purpose rupture of pectoralis major (pm) occurs most commonly as a result of an indirect mechanism associated with extensive tension on a maximally contracted muscle. patients with pm tendon ruptures, classically present a history of sudden severe pain in arm and shoulder at the time of injury. treatment options vary from conservative to operative. in cases with total or near-total injuries, su...