Document Detail

The prevalence of ruptured chordae tendineae in the mitral valve prolapse syndrome.
MedLine Citation:
PMID:  6837414     Owner:  NLM     Status:  MEDLINE    
Echocardiographic studies were performed on 134 consecutive patients with idiopathic mitral valve prolapse syndrome. Fifteen patients (11.2%) were noted to have ruptured chordae tendineae on M-mode examination and in 12 of them the diagnosis was confirmed by bidimensional studies. Only four patients were referred for surgery as a result of severe mitral regurgitation. At operation one patient was found to have rupture of the anterior mitral chorda and the other three had posterior mitral chordal rupture. Eleven patients with chordal rupture had either mild symptoms or were completely asymptomatic. It is concluded that chordal rupture in patients with the mitral valve prolapse syndrome does not always result in severe hemodynamic deterioration and may go undetected unless a high index of suspicion is maintained. Serial echocardiographic studies may reveal the natural history of this condition in asymptomatic patients.
E Grenadier; G Alpan; S Keidar; A Palant
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Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  American heart journal     Volume:  105     ISSN:  0002-8703     ISO Abbreviation:  Am. Heart J.     Publication Date:  1983 Apr 
Date Detail:
Created Date:  1983-05-05     Completed Date:  1983-05-05     Revised Date:  2006-02-27    
Medline Journal Info:
Nlm Unique ID:  0370465     Medline TA:  Am Heart J     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  603-10     Citation Subset:  AIM; IM    
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MeSH Terms
Chordae Tendineae / pathology,  physiopathology*
Echocardiography / methods*
Heart Auscultation
Heart Murmurs
Heart Rupture / etiology*,  physiopathology
Middle Aged
Mitral Valve Insufficiency / etiology
Mitral Valve Prolapse / complications*

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