Doctor insights on:
Ruptured Mitral Chordae Tendineae
I am an echo student. We scanned me and noticed one of my chordae tendineae is ruptured in mitral. No MR. Is this serious?
No: It sounds like an incidental finding. You should ; however, get involved with a cardiologist early, and consider a follow-up echo, or two, over the next 2-3 years. Rarely conditions can begin as weak chordal structures, that result in more valve dysfunction over time. The goal would be to catch it before the symptoms start. Since there was no reason for the echo, we can't say how often occurs. Read moreSee 1 more doctor answer
Should a couple ruptured Chordae tendineae and (as a result) mitral valve prolapse from endocarditis warrant worry for a 26 y/o athlete? No symptoms.
Ruptured chordae: Generally this condition will cause mitral valve insufficiency which may increase over time. Discuss with your doctor, you may need an exercise echo test to see if mitral insufficiency is present or increases with increasing exercise. Your Dr. (cardiologist)can advise of your status with the information. Read more
With a ruptured chordae tendenineae from endocarditis and not having surgery will the mitral prolapse and regurgitation stop?
Very unlikely: Endocarditis causes inflammation and direct damage to the valve tissue. Often, if the valve remains intact without serious damage, then the regurgitation may slightly improve as inflammation imrpoves with treatment of infection. But if valve leaflet damage or chordae rupture occurs (the "ropes" that the valve uses to rest in the correct position) it is unlikely to improve without surgery. Read moreSee 1 more doctor answer
Mitral insufficiency: Mitral insufficiency is synonomous with mitral incompetence. It is when the valve doesn't close properly. This is like a door that doesn't close. The back leak of blood flow can be minor, moderate or major. Various causes of mitral valve insufficiency exist from congenital, through infections, damage to the support structures of the valve and other causes. Minor mitral leak can progress to worse Read more
Narrowing: Mitral stenosis is a narrowing of the valve that controls the flow of blood from the left atrium to the left ventricle of the heart. This can have many causes and, depending upon the severity of the stenosis, may or may not cause symptoms. This must be followed, because the degree of stenosis can increase over time and require replacement. Read moreSee 1 more doctor answer
ABNORMAL THICKENING: Of the mitral valve with associated mitral valve prolapse. It's calcium buildup in the valve, stated simply. It might have been triggered by rheumatic fever or any other condition that would make the valve structurally abnormal. This condition is usually progressive and surgery may be necessary down the road. Close follow up is also important. Read more
Mitral stenosis is a thickening of the mitral valve leaflets. This results in narrowing that restricts blood flow through the valve.
Ms is rated as mild, moderate, or severe. Severe ms usually requires valve surgery.
Mild does not cause symptoms but should be monitored periodically. Read more
MR: The mitral valve has 2 leaflets which separates the left ventricle from the left atrium. Blood passes across the mv from the la to the lv when the heart is filling. When the ventricle contracts, the mv is closed and no blood goes backward into the la unless regurgitation is present. Then the blood leaks backward, overfilling the la and raising the pressure. Read moreSee 1 more doctor answer
It depends on cause: Mitral stenosis may be mild and not require specific therapy. For more significant mitral stenosis, treatment is either catheter-based or surgical. Catheter-based therapies involve feeding a balloon-tipped catheter through a large blood vessel in the groin into the heart and across the narrowed mitral valve. The balloon is inflated with relief of stenosis. Surgery involves repair or replacement. Read moreSee 1 more doctor answer
Restricts blood flow: Mitral stenosis is when the mitral valve fails to open sufficiently. This restricts the blood flow into the left ventricle (the main pumping chamber). This causes the left atrium to dilate and increase pressure in the lungs. This causes shortness of breath, increase BP in lungs, abnormal heart rhythms, and heart failure. Read moreSee 1 more doctor answer
Infections: Most common cause, although rare these days in the westernized world, is rheumatic fever (due to strep infectipns) in young age, which leads to scarring of the valve over time with narrowing - stenosis. Other infections (endocarditis) can lead to mitral stenosis as well. Read moreSee 1 more doctor answer
Depends on severity: Progressively restricted opening of the mitral valve, measured by serial echocardiography, results in higher pressures in the lung circulation and reduced cardiac output when exercising. Worsening shortness of breath and cardiac arrhythmias may be the result. There are evidence based guidelines to help your doctors decide when to intervene to improve quality and length of life. Read moreSee 1 more doctor answer
Echo, cath: Echocardiogram is the most common test for mitral stenosis, as the structure and function of the valve can be assessed visually. Cxr can give information regarding chamber size and valve calcification. Ekg and holter monitor can reveal atrial fibrilation, a common arrhythmia associated with mitral stenosis. Heart cath would reveal the hemodynamics and the need for surgical intervention. Read more
Depends: Depends on severity as per cutaneous (valvuloplasty) or surgery (usually replacement) are reserved for symptomatic & advanced cases that no longer respond to medications which is first line option. If intervention is required than echocardiography is used to determine if surgery or balloon valvuloplasty is best option. Talk to your cardiologist. Read more
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- Why does rupture of the chordae tendineae lead to valve dysfuction?
- What heart valves are anchored by chordae tendineae?
- There is a thick mitral valve chordae tendinae
- What could happen if the chordae tendinae ruptured in right valve area?
- Chordae tendinae
- Where is the chordae tendinae located
- Chordae rupture