Key result
Anomalous Y-shaped apical mitral chordae causes no regurgitation or left ventricular outflow tract obstruction.
Case Report (n=1)
No
No clinical action indicated for this incidental finding; extends mitral apparatus variants but leaves open functional significance.
A 33 years asymptomatic hypertensive male underwent a routine color echocardiography for assessment of overall cardiac anatomy, left ventricle (LV) regional wall motion abnormality , LV wall thickness, systolic and diastolic functions.A striking echodense vertical band was visualized in the LV while visualizing the apical two, three and four chamber views.Nevertheless, despite its anatomic location, there was no evidence that the anamolous mitral valve chordae tendineae was causing any regurgitation of mitral valve or obstruction to left ventricular outflow tract (LVOT).To the best of our knowledge this is the first case report of chordae attachment to the LV apex.
No takes yet. Share an insight, caveat, or question.
A 2023 study conducted a case report in Aberrant mitral valve chordae tendineae (n=1). Aberrant mitral valve chordae tendineae was evaluated on Hemodynamic impact (mitral regurgitation or left ventricular outflow tract obstruction). An anomalous Y-shaped mitral valve chordae tendineae inserting into the left ventricular apex was incidentally identified, causing no mitral regurgitation or left ventricular outflow tract obstruction.
Synapse has enriched 5 closely related papers on similar clinical questions. Consider them for comparative context: