What question did this study set out to answer?

To describe the preoperative diagnosis and open-heart surgical correction of severe mitral insufficiency resulting from ruptured chordae tendineae secondary to subacute bacterial endocarditis.

May 18, 1964JAMA

Mitral Insufficiency Secondary to Ruptured Chordae Tendineae

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Population

1 patient, 38-year-old Caucasian female with mitral insufficiency secondary to ruptured chordae tendineae…

Design

Case_report

Authors

CWCarl Wolnisty SFSam FriedmanYale University

Discussion

Member takes

Implication

Supports surgical repair for chordal rupture; leaves open role of transcatheter options in contemporary practice.

Key Points

To describe the preoperative diagnosis and open-heart surgical correction of severe mitral insufficiency resulting from ruptured chordae tendineae secondary to subacute bacterial endocarditis.
Clinical and diagnostic evaluation of a 38-year-old female presenting with mitral insufficiency and a history of subacute bacterial endocarditis (N=1).
Open-heart surgical intervention utilizing cardiopulmonary bypass to reconstruct the dysfunctional mitral valve restraining apparatus.
Mitral regurgitation was confirmed to stem from leaflet distortion caused by the loss of chordal support following endocarditis-related rupture.
Surgical repair successfully restored valve restraint mechanisms and resolved the mitral insufficiency.

Structured PICO

Population

1 patient, 38-year-old Caucasian female with mitral insufficiency secondary to ruptured chordae tendineae due to subacute bacterial endocarditis.

Intervention

Surgical repair (open heart surgery with cardiopulmonary bypass)

Outcome

Successful correction of mitral insufficiency

This historical case report demonstrates the feasibility of surgical repair for mitral insufficiency secondary to ruptured chordae tendineae using open heart surgery and cardiopulmonary bypass.

Cite This Study

Wolnisty et al. (1964) studied this question.

synapsesocial.com/papers/6a9079784aebf474cb3424ea https://doi.org/10.1001/jama.1964.03060330067022

Topics

Mitral valve intervention Valvular heart disease Infective endocarditis

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Mitral Insufficiency Secondary to Ruptured Chordae Tendineae

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

Topics

Mitral Insufficiency Secondary to Ruptured Chordae Tendineae

Discussion

Member takes

Implication

Key Points

Structured PICO

Cite This Study

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