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Abnormal morphology of the chordae tendinae of the mitral valve

MedGen UID:
1381439
•Concept ID:
C4476826
•
Anatomical Abnormality
HPO: HP:0025523

Definition

A structural anomaly of the chordae tendinae of the mitral valve, whose main function is to transmit the contraction and relaxation of the papillary muscles during the cardiac cycle, thus ensuring the closing of the leaflets of the mitral valve. [from HPO]

Professional guidelines

PubMed

The systolic click-murmur syndrome: clinical recognition and management.
O'rourke RA, Crawford MH
Curr Probl Cardiol 1976 Mar-Apr;1(1):1-60. doi: 10.1016/s0146-2806(76)80006-0. PMID: 1017208

Recent clinical studies

Etiology

Anatomy of the mitral subvalvular apparatus.
Krawczyk-Ożóg A, Hołda MK, Bolechała F, Siudak Z, Sorysz D, Dudek D, Klimek-Piotrowska W
J Thorac Cardiovasc Surg 2018 May;155(5):2002-2010. Epub 2017 Dec 23 doi: 10.1016/j.jtcvs.2017.12.061. PMID: 29397976
Long-term surgical outcome of mitral valve repair in infants and children with Shone's anomaly.
Delmo Walter EM, Komoda T, Siniawski H, Miera O, Van Praagh R, Hetzer R
Eur J Cardiothorac Surg 2013 Mar;43(3):473-81; discussion 481-2. Epub 2012 Aug 23 doi: 10.1093/ejcts/ezs325. PMID: 22922555
Outcomes of aortic valve repair according to valve morphology and surgical techniques.
Fattouch K, Murana G, Castrovinci S, Nasso G, Mossuto C, Corrado E, Ruvolo G, Speziale G
Interact Cardiovasc Thorac Surg 2012 Oct;15(4):644-50. Epub 2012 Jul 3 doi: 10.1093/icvts/ivs195. PMID: 22761124Free PMC Article
High prevalence of false chordae tendinae in patients without left ventricular tachycardia.
Gualano SK, Bolling SF, Gordon D, Wilson A, Bach DS
Pacing Clin Electrophysiol 2007 Jan;30 Suppl 1:S156-9. doi: 10.1111/j.1540-8159.2007.00628.x. PMID: 17302695
The pathology of mitral valve prolapse.
Virmani R, Atkinson JB, Forman MB
Herz 1988 Aug;13(4):215-26. PMID: 3049284

Diagnosis

The Use of 3D Echocardiography in Surgical Planning of the Mitral Valve in Pediatric Cardiology.
Arbic N, Dragulescu A, Mertens L, Villemain O
J Vis Exp 2021 Jun 3;(172) doi: 10.3791/62574. PMID: 34152324
Bands in the Heart: Multimodality Imaging Review.
Rajiah P, MacNamara J, Chaturvedi A, Ashwath R, Fulton NL, Goerne H
Radiographics 2019 Sep-Oct;39(5):1238-1263. Epub 2019 Aug 2 doi: 10.1148/rg.2019180176. PMID: 31373865
Parachute Mitral Valve.
Vistarini N, Belaidi M, Desjardins G, Pellerin M
Can J Cardiol 2016 Oct;32(10):1261.e5-1261.e6. Epub 2015 Nov 5 doi: 10.1016/j.cjca.2015.10.025. PMID: 27568105
The pathology of mitral valve prolapse.
Virmani R, Atkinson JB, Forman MB
Herz 1988 Aug;13(4):215-26. PMID: 3049284
Nonrheumatic mitral incompetence.
Yahini JH, Deutsch V, Miller HI, Shem-Tov A, Atlas P, Neufeld HN
Isr J Med Sci 1975 Sep;11(9):928-67. PMID: 1184367

Therapy

Four-tiered echocardiographic analysis approach for congenital mitral valve malformations: Four years of experience.
Sun F, Chen Y, Ren W, Zhang Y, Wu D, Chen X, Ma C, Li D
Int J Cardiol 2017 Jan 15;227:602-610. Epub 2016 Oct 29 doi: 10.1016/j.ijcard.2016.10.090. PMID: 27814918
Outcomes of aortic valve repair according to valve morphology and surgical techniques.
Fattouch K, Murana G, Castrovinci S, Nasso G, Mossuto C, Corrado E, Ruvolo G, Speziale G
Interact Cardiovasc Thorac Surg 2012 Oct;15(4):644-50. Epub 2012 Jul 3 doi: 10.1093/icvts/ivs195. PMID: 22761124Free PMC Article
Techniques for ensuring the correct length of new mitral chords.
Duran CM, Pekar F
J Heart Valve Dis 2003 Mar;12(2):156-61. PMID: 12701786
Morphologic features of the normal and abnormal mitral valve.
Roberts WC
Am J Cardiol 1983 Mar 15;51(6):1005-28. doi: 10.1016/s0002-9149(83)80181-7. PMID: 6338691
Indications for surgical replacement of the mitral valve. With particular reference to common and uncommon causes of mitral regurgitation.
Fowler NO, van der Bel-Kahn JM
Am J Cardiol 1979 Jul;44(1):148-57. doi: 10.1016/0002-9149(79)90264-9. PMID: 377933

Prognosis

STRUCTURAL HEART ANOMALIES (REVIEW).
Osovska N, Kuzminova N, Ovcharuk M, Serhiychuk O
Georgian Med News 2016 Jun;(255):66-77. PMID: 27441539
Long-term surgical outcome of mitral valve repair in infants and children with Shone's anomaly.
Delmo Walter EM, Komoda T, Siniawski H, Miera O, Van Praagh R, Hetzer R
Eur J Cardiothorac Surg 2013 Mar;43(3):473-81; discussion 481-2. Epub 2012 Aug 23 doi: 10.1093/ejcts/ezs325. PMID: 22922555
Outcomes of aortic valve repair according to valve morphology and surgical techniques.
Fattouch K, Murana G, Castrovinci S, Nasso G, Mossuto C, Corrado E, Ruvolo G, Speziale G
Interact Cardiovasc Thorac Surg 2012 Oct;15(4):644-50. Epub 2012 Jul 3 doi: 10.1093/icvts/ivs195. PMID: 22761124Free PMC Article
Surgical management of the straddling mitral valve in the biventricular heart.
Aeba R, Katogi T, Takeuchi S, Kawada S
Ann Thorac Surg 2000 Jan;69(1):130-4. doi: 10.1016/s0003-4975(99)01315-6. PMID: 10654501
Nonrheumatic mitral incompetence.
Yahini JH, Deutsch V, Miller HI, Shem-Tov A, Atlas P, Neufeld HN
Isr J Med Sci 1975 Sep;11(9):928-67. PMID: 1184367

Clinical prediction guides

Anatomy of the mitral subvalvular apparatus.
Krawczyk-Ożóg A, Hołda MK, Bolechała F, Siudak Z, Sorysz D, Dudek D, Klimek-Piotrowska W
J Thorac Cardiovasc Surg 2018 May;155(5):2002-2010. Epub 2017 Dec 23 doi: 10.1016/j.jtcvs.2017.12.061. PMID: 29397976
Four-tiered echocardiographic analysis approach for congenital mitral valve malformations: Four years of experience.
Sun F, Chen Y, Ren W, Zhang Y, Wu D, Chen X, Ma C, Li D
Int J Cardiol 2017 Jan 15;227:602-610. Epub 2016 Oct 29 doi: 10.1016/j.ijcard.2016.10.090. PMID: 27814918
Artificial chordae for pediatric mitral and tricuspid valve repair.
Boon R, Hazekamp M, Hoohenkerk G, Rijlaarsdam M, Schoof P, Koolbergen D, Heredia L, Dion R
Eur J Cardiothorac Surg 2007 Jul;32(1):143-8. Epub 2007 May 2 doi: 10.1016/j.ejcts.2007.03.035. PMID: 17478093
The pathology of mitral valve prolapse.
Virmani R, Atkinson JB, Forman MB
Herz 1988 Aug;13(4):215-26. PMID: 3049284
Aortic stenosis and rupture of mitral chordae tendineae.
Effron MK
J Am Coll Cardiol 1983 Apr;1(4):1018-23. doi: 10.1016/s0735-1097(83)80103-x. PMID: 6833642

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