The article considers a rather rare condition — separation of the chord of the mitral valve, discusses the etiology and mechanisms of development, clinical manifestations, methods of diagnosis and methods of treatment. Also described a clinical case of separation of the chord of the mitral valve, complicated by bacterial endocarditis, middle-aged men without previous pathology of the cardiovascular system
the separation of the chord, progressive left ventricular heart failure, mitral valve, surgery on the valve apparatus of the heart
1. Anderson Y. Fulminant mitral regurgitation due to ruptured chordae tendinae in acute rheumatic fever / Y. Anderson, N. Wilson, R. Nicholson, K. Finucane. Journal of Paediatrics and Child Health. –2008. — Vol. 44. — R. 134–7.
2. Baird C.W. Mitral valve chordal rupture masquerades as endocarditis / C.W. Baird, C. Constantinos, E. Lansford, F.A. Pigula. Pediatris Cardiology. – 2007. – Vol. 28. — P. 297–9
3. Brizzio M.E. Acute mitral regurgitation requiring urgent surgery because of chordae ruptures after extreme physical exercise: case report / M.E. Brizzio, A. Zapolanski. Heart Surgery Forum. — 2008. — Vol. 11. — E255–E256.
4. Gabbay U. The underlying causes of chordae tendinae rupture: a systematic review / U. Gabbay, C. Yosefy. International Journal of Cardiology. — 2010. — Vol. 143, Suppl. 2. — P. 113 –118.
5. Juang J.J. Rupture of mitral chordae tendineae: adding to the list of hypertension complications / J.J. Juang, S.R. Ke, J.L. Lin et al.. Heart. — 2009. — Vol. 95. – P. 976–9.
6. Kaymaz C. Differentiating clinical and echocardiographic characteristics of chordal rupture detected in patients with rheumatic mitral valve disease and floppy mitral valve: impact of the infective endocarditis on chordal rupture / C. Kaymaz, N. Ozdemir, M. Ozkan. European journal of echocardiography. — 2005. — Vol. 6. — P. 117–26.
7. Leal J.C. Echocardiographic evaluation of patients submitted to replacement of ruptured chordae tendineae / J.C. Leal, Jr. F. Gregori, L.E. Galina, R.S. Thevenard, D.M. Braile. The RevistaBrasileira de Cirurgia Cardiovascular. — 2007. — Vol. 22. — P. 184–91.
8. Lin T.H. Association between hypertension and primary mitral chordae tendinae rupture / T.H. Lin, H.M. Su, W.C. Voon et al.. The American Journal of Hypertension. — 2006. — Vol. 19. — P. 75–9.
9. Lorusso R. Mitral valve surgery in emergency for severe acute regurgitation: analysis of postoperative results from a multicentre study / R. Lorusso, S. Gelsomino, G. Cicco et al.. European Journal of Cardio-Thoracic Surgery. – 2008. — Vol. 33. — P. 573–82.
10. Luo X.L. Clinical and echocardiographic characteristics of mitral chordal rupture from 292 hospitalized patients / X.L. Luo, S.B. Qiao, J.S. Yuan et al.. Zhonghua Xin Xue Guan Bing ZaZhi. — 2009. — Vol. 37(3). — P.253 — 6.
11. Morris A.L. Hypertrophic obstructive cardiomyopathy complicated by ruptured chordae tendinea to the posterior mitral leaflet and severe congestive heart failure / A.L. Morris, I. Moheb. The Canadian Journal of Cardiology. – 2009. — Vol. 25(7). — P. 259–260.
12. Simmers T.A. Traumatic papillary muscle rupture / T.A. Simmers, H.W. Meijburg, A.
13. Wooler G. H., Nixon P. G., Grimshaw V. A. et al. Experiences with the repair of the mitral valve in mitral incompetence. Thorax 1962; 17: 49.
14. Gendlin G.E., Strozhakov G.I., Vavilov P.A., Prokof´eva E.V. Pokazaniya k khirurgicheskomu lecheniyu bol´nykh s zabolevaniyami klapanov serdtsa// Serdtse: zhurnal dlya praktikuyushchikh vrachey. — 2008. — tom 7; № 2; — C. 113–117.
15. Dzhordzhikiya R.K., Kharitonov G.I. Sovremenye aspekty diagnostiki i khirurgicheskogo lecheniya priobretennykh porokov serdtsa. Prakticheskaya meditsina. — 2003. — № 3. — S. 25.
16. Nesukay E.G. Mitral´naya nedostatochnost´. Serdechnaya nedostatochnost´. — 2010. — № 3. — C. 84–91.
17. Shiller N., Osipov N.A. Klinicheskaya ekhokardiografiya, vtoroe izdanie. — M.: Praktika, 2005. — S. 344
