The paper describes the main signs of the rupture of chordae tendineae as a cause of mitral incompetence. The main place is given to the echocardiographic signs of this syndrome. The rupture of chordae tendineae is characterized by a certain combination of symptoms including the etiological factors of rupture, the clinical picture of cardiac insufficiency, a tendency to atrial fibrillation, auscultative picture of papillochordal insufficiency and the typical echocardiographic signs of this condition.
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Gen Thorac Cardiovasc Surg Cases
September 2024
Department of Cardiovascular Surgery, Juntendo University Graduate School of Medicine, 2-11-6 Hongo, Bunkyo-Ku, Tokyo, 113-0033, Japan.
Background: Redo mitral valve surgery by re-sternotomy approach has challenges such as bleeding and organ injury due to adhesion dissection, sternal bone infection, and poor field of view of mitral valve. On the other hand, redo mitral valve surgery via a right mini-thoracotomy approach appears to address these challenges. We successfully performed a double right mini-thoracotomies approach for mitral valve replacement and pseudoaneurysm repair under the beating-heart condition.
View Article and Find Full Text PDFNeglected rheumatic heart disease (RHD) can lead to severe complications and change patients' quality of life, particularly that of young patients. This report highlights the importance of public health education for patients and families in preventing RHD complications. In RHD management, prevention is better than cure.
View Article and Find Full Text PDFUgeskr Laeger
September 2024
Hjerte-Lungekirurgisk Afdeling, Aalborg Universitetshospital.
Cardiology
September 2024
Division of Cardiovascular Medicine, The Ohio State University, Columbus, Ohio, USA.
Background: Floppy mitral valve/mitral valve prolapse (FMV/MVP) is a complex entity in which several clinical manifestations are not directly related to the severity of mitral regurgitation (MR).
Summary: Patients with FMV/MVP and trivial to mild MR may have exercise intolerance, orthostatic phenomena, syncope/presyncope, chest pain, and ventricular arrhythmias, among others. Several anatomical and pathophysiologic consequences related to the abnormal mitral valve apparatus and to prolapse of the mitral leaflets into the left atrium provide some explanation for these symptoms.
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