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Mitral Insufficiency Secondary to Ruptured Chordae Tendineae

RICHARD H. CHILDRESS, M.D.; JOSEPH C. MAROON, M.D.; and PASQUALE D. GENOVESE, M.D., F.A.C.P.
Ann Intern Med. 1966;65(2):232-244. doi:10.7326/0003-4819-65-2-232
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This excerpt has been provided in the absence of an abstract.

Mitral insuffiency due to rupture of the chordae tendineae is a relatively rare entity and, until recently, one primarily of academic interest. Heretofore the diagnosis was rarely considered and was usually made at postmortem examination. Since surgical repair of mitral insufficiency is now possible, an increased interest in this disorder has developed.

Five male patients with this disorder have been studied at this hospital during the past 6 years. The clinical features demonstrate a wide spectrum of physical and hemodynamic findings.

Several factors have been implicated in the etiology of ruptured chordae tendineae. The first report by Corvisart (1) in

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