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Syndrome of Ruptured Chordae Tendineae.

J. F. Uricchio, M.D., (Assoc.); and H. T. Nichols, M.D.
Ann Intern Med. 1961;54(5):1041. doi:10.7326/0003-4819-54-5-1041_2
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Rupture of the chordae tendineae is generally associated with previous bacterial endocarditis, myocardial infarction, and in rare instances trauma. The present report deals with a group of eight patients, five of whom presented a history of previous rheumatic fever. The unusual pathology was discovered during open heart surgery for correction of mitral regurgitation. The heavier cords which run from the ventricular surface of the cusps at varying distances from the free margins were those involved. In five cases, the chordae arising from the posterior papillary muscles and attached to the posterolateral half of the anterior septal leaflet were torn. "Flail"


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