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DOI: 10.18413 / 2313-8955-2015-1-1-54-63

CLINICAL CASE OF ACUTE CHORD RUPTURE OF THE MITRAL VALVE POSTERIOR LEAFLET IN OLDER PATIENT WITH COMORBIDITIES

The article describes the etiologic role of various factors such as chronic rheumatic heart disease, bacterial endocarditis, aortic valve stenosis, hypertension, coronary heart disease, including acute myocardial infarction, degenerative disease of the valves, connective tissue diseases, chest trauma, systemic lupus erythematosus, congenital heart disease which leading to the mitral valve chords rupture, gives the current classification of the nosology and also features of manifestation and clinical course. The authors also described a clinical case of mitral valve posterior leaflet chord rupture in the patient with hypertension, ischemic heart disease and chronic obstructive pulmonary disease, which reflects all the stages of diagnostic search and the difficulties encountered in making the diagnosis. There were analyzed the basic concepts of medical and surgical treatment, features the choice of treatment strategy depending on the degree of mitral valve insufficiency.

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