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Ruptured Chordae Tendineae: Clinical Experience and Treatments.

Ralph L. Brandt, M.D., F.A.C.P.; Joe O. Morris, M.D.; and Craig R. Barlow, M.D. (Associate)
Ann Intern Med. 1965;62(5):1073. doi:10.7326/0003-4819-62-5-1073_2
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Rupture of chordae tendinae probably occurs more frequently than has been realized. This entity was found to be the mechanism of mitral regurgitation in 14 out of 64 patients operated upon for mitral valve insufficiency, a frequency of 22%. Coronary heart disease has been sited as a cause of rupture of papillary muscles but not chordae tendinae. The lesion in eight patients, mean age was 41, was of rheumatic etiology. In the nonrheumatic group of six patients, mean age was 58, coronary heart disease was present in four with electrocardiographic evidence of posterior myocardial infarction in three. Hypertension was recorded


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