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Congenital Anomalous Chordae Tendinae of the Mitral Valve: An Unusual Presentation of Mitral Insufficiency in Children
Author(s) -
Taqatqa Anas S.,
Bokowski John W.,
Polimenakos Anastasios C.
Publication year - 2010
Publication title -
journal of cardiac surgery
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.428
H-Index - 58
eISSN - 1540-8191
pISSN - 0886-0440
DOI - 10.1111/j.1540-8191.2010.01076.x
Subject(s) - medicine , chordae tendineae , mitral valve , presentation (obstetrics) , mitral valve repair , cardiology , leaflet (botany) , surgery , paleontology , biology
: Anomalous chordae tendinae (CT) originating from mitral valve leaflet is a rare congenital mitral valve anomaly. Our case report is unique as this anomaly is extremely rare in this pediatric age group. The anomalous CT extended from anterior mitral leaflet to the atrial septum (AS). Surgical repair in the form of anomalous CT excision, anterior leaflet chordoplasty, and posterior mitral annuloplasty was successfully performed. Congenital mitral valve (MV) leaflet or chordae anomalies are rare. In anomalous CT from MV leaflet to the AS, the surgical experience is extremely limited and only reported in adults and adolescents. 1–4 We describe an unusual presentation of severe mitral insufficiency (MR) associated with anomalous CT from the anterior mitral valve leaflet (AMVL) to the AS that prompted successful repair during childhood. (J Card Surg 2010;25:584‐585)