Double valve replacement for acute spontaneous left chordal rupture secondary to chronic aortic incompetence

<p>Abstract</p> <p>A 54 years old male with undiagnosed chronic calcific degenerative aortic valve incompetence presented with acute left anterior chordae tendinae rupture resulting in severe left heart failure and cardiogenic shock. He was successfully treated with emergency doubl...

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Main Authors: McLenachan Jim, Berridge John, Kumar Sanjay, Agarwala Sandeep, O'Regan David J
Format: Article
Language:English
Published: BMC 2006-10-01
Series:Journal of Cardiothoracic Surgery
Online Access:http://www.cardiothoracicsurgery.org/content/1/1/33
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author McLenachan Jim
Berridge John
Kumar Sanjay
Agarwala Sandeep
O'Regan David J
author_facet McLenachan Jim
Berridge John
Kumar Sanjay
Agarwala Sandeep
O'Regan David J
author_sort McLenachan Jim
collection DOAJ
description <p>Abstract</p> <p>A 54 years old male with undiagnosed chronic calcific degenerative aortic valve incompetence presented with acute left anterior chordae tendinae rupture resulting in severe left heart failure and cardiogenic shock. He was successfully treated with emergency double valve replacement using mechanical valves. The pathogenesis of acute rupture of the anterior chordae tendinae, without any evidence of infective endocarditis or ischemic heart disease seems to have been attrition of the subvalvular mitral apparatus by the chronic regurgitant jet of aortic incompetence with chronic volume overload. We review the literature with specific focus on the occurrence of this unusual event.</p>
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spelling doaj.art-7254277a28c44c81b410f07c7fa1a5d42022-12-21T21:18:31ZengBMCJournal of Cardiothoracic Surgery1749-80902006-10-01113310.1186/1749-8090-1-33Double valve replacement for acute spontaneous left chordal rupture secondary to chronic aortic incompetenceMcLenachan JimBerridge JohnKumar SanjayAgarwala SandeepO'Regan David J<p>Abstract</p> <p>A 54 years old male with undiagnosed chronic calcific degenerative aortic valve incompetence presented with acute left anterior chordae tendinae rupture resulting in severe left heart failure and cardiogenic shock. He was successfully treated with emergency double valve replacement using mechanical valves. The pathogenesis of acute rupture of the anterior chordae tendinae, without any evidence of infective endocarditis or ischemic heart disease seems to have been attrition of the subvalvular mitral apparatus by the chronic regurgitant jet of aortic incompetence with chronic volume overload. We review the literature with specific focus on the occurrence of this unusual event.</p>http://www.cardiothoracicsurgery.org/content/1/1/33
spellingShingle McLenachan Jim
Berridge John
Kumar Sanjay
Agarwala Sandeep
O'Regan David J
Double valve replacement for acute spontaneous left chordal rupture secondary to chronic aortic incompetence
Journal of Cardiothoracic Surgery
title Double valve replacement for acute spontaneous left chordal rupture secondary to chronic aortic incompetence
title_full Double valve replacement for acute spontaneous left chordal rupture secondary to chronic aortic incompetence
title_fullStr Double valve replacement for acute spontaneous left chordal rupture secondary to chronic aortic incompetence
title_full_unstemmed Double valve replacement for acute spontaneous left chordal rupture secondary to chronic aortic incompetence
title_short Double valve replacement for acute spontaneous left chordal rupture secondary to chronic aortic incompetence
title_sort double valve replacement for acute spontaneous left chordal rupture secondary to chronic aortic incompetence
url http://www.cardiothoracicsurgery.org/content/1/1/33
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AT kumarsanjay doublevalvereplacementforacutespontaneousleftchordalrupturesecondarytochronicaorticincompetence
AT agarwalasandeep doublevalvereplacementforacutespontaneousleftchordalrupturesecondarytochronicaorticincompetence
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