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Doctor insights on: Ruptured Mitral Chordae Tendineae

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I am an echo student. We scanned me and noticed one of my chordae tendineae is ruptured in mitral. No MR. Is this serious?

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 more

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Rupture (Definition)

When a hollow structure like an blood vessel, a cyst, bladder, bowel, etc bursts we ...Read more


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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.

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

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With a ruptured chordae tendenineae from endocarditis and not having surgery will the mitral prolapse and regurgitation stop?

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 more

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What is moderate mitral incompetence? What causes it?

What is moderate mitral incompetence? What causes it?

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

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What is mitral stenosis?

What is mitral stenosis?

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 more

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What is mitral stenosis?

Valve tightening: This is a situation where the mitral valve is tight, producing some restriction to blood flowing through. It can either be something a person is born with or something that is caused by disease. Read more

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What's "mitral sclerosis"?

What's "mitral sclerosis"?

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

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Is mitral stenosis inherited?

Is mitral stenosis inherited?

Mitral stenosis: Usually from rheumatic fever and not inherited. Read more

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What is mild mitral stenosis?

What is mild mitral stenosis?

Narrowing: 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

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What is mitral regurgitations?

What is mitral regurgitations?

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 more

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How do you treat mitral stenosis?

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 more

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Can one die from mitral stenosis?

Can one die from mitral stenosis?

Yes: Absolutely, although this is rare in the United States. Causes of death would include stroke (secondary to associated atrial fibrillation) or end-stage congestive heart failure. Read more

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What occurs during mitral stenosis?

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 more

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What are the causes mitral stenosis?

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 more

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Can someone? Die from mitral stenosis?

Can someone? Die from mitral stenosis?

Yes: Mitral stenosis usually presents with a long history (years)of symptoms including shortness of breath, weakness, arrhythmias and heart failure etc. One can die from this condition. Read more

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Can someone die from mitral stenosis?

Can someone die from mitral stenosis?

Mitral stenosis: Much more common in under developed countries than in theusa because of inacessible antibiotics on a regular basis to treat rheumatic fever, which is the most common cause of later mitral stenosis which can be lethal if not treated. Read more

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What does mitral stenosis results in?

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 more

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What are the tests for mitral stenosis?

What are the tests for mitral stenosis?

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

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What can I do to treat mitral stenosis?

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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What is mitral insufficiency's etiology?

What is mitral insufficiency's etiology?

Structural problems: The most common causes of mitral regurgitation are: myxomatous valve degeneration/valve prolapse, ischemic heart disease, dilated cardiomyopathy, rupture chordae/papillary muscle, endocarditis. Read more

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