2658-6533Research Results in Biomedicine2658-653310.18413 / 2313-8955-2015-1-1-54-63350Archive categoriesCLINICAL CASE OF ACUTE CHORD RUPTURE OF THE MITRAL VALVE POSTERIOR LEAFLET IN OLDER PATIENT WITH COMORBIDITIESCLINICAL CASE OF ACUTE CHORD RUPTURE OF THE MITRAL VALVE POSTERIOR LEAFLET IN OLDER PATIENT WITH COMORBIDITIESKuznetsovIgor V.KuznetsovIgor V.kyznetsov_i_v@mail.ruLopinDmytro O.LopinDmytro O.doctorlopin@yandex.ruKramarenkoIrina A.KramarenkoIrina A.SumanovaIrina A.SumanovaIrina A.LopinaNatalia A.LopinaNatalia A.alamajor@yandex.uaZhuravlyovaLarysa V.ZhuravlyovaLarysa V.prof.zhuravlyova@gmail.com20151100

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.

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.

chord rupturecongestive heart failuremitral valve insufficiencychord rupturecongestive heart failuremitral valve insufficiencyСписок литературыAnderson Y. Fulminant mitral regurgitation due to ruptured chordae tendinae in acute rheumatic fever / Y. Anderson, N. Wilson, R. Nicholson, K. Finucane // Journal of Paediatrics and Child Health. 2008. Vol. 44. Рp.134-7.Baird C.W. Mitral valve chordal rupture masquerades as endocarditis / C.W. Baird, C. Constantinos, E. Lansford, F.A. Pigula //  Pediatriс Cardiology.2007. Vol. 28. Pp.297-9Brizzio M.E. Acute mitral regurgitation requiring urgent surgery because of chordae ruptures after extreme physical exercise: case report / M.E. Brizzio, A. Zapolanski // Heart Surgery Forum. 2008. Vol. 11. E255-E256.Gabbay U. The underlying causes of chordae tendinae rupture: a systematic review / U. Gabbay, C. Yosefy // International Journal of Cardiology. 2010.  Vol. 143, Suppl.2. Pp.113-118.Juang J.J. Rupture of mitral chordae tendineae: adding to the list of hypertension complications / J.J. Juang, S.R. Ke, J.L. Lin et al. // Heart. 2009. Vol. 95. Pp.976-9.Kaymaz C. Differentiating clinical and echocardiographic characteristics of chordal rupture detected in patients with rheumatic mitral valve disease and floppy mitral valve: impact of the infective endocarditis on chordal rupture / C. Kaymaz, N. Ozdemir, M. Ozkan // European journal of echocardiography.  2005. Vol. 6. Pp.117-26.Leal J.C. Echocardiographic evaluation of patients submitted to replacement of ruptured chordae tendineae / J.C. Leal, Jr. F. Gregori, L.E. Galina, R.S. Thevenard, D.M. Braile // The Revista Brasileira de Cirurgia Cardiovascular.  2007. Vol. 22. Pp.184-91.Lin T.H. Association between hypertension and primary mitral chordae tendinae rupture / T.H. Lin, H.M. Su, W.C. Voon et al. // The American Journal of Hypertension. 2006. Vol. 19. Pp.75-9.Lorusso R. Mitral valve surgery in emergency for severe acute regurgitation: analysis of postoperative results from a multicentre study / R. Lorusso, S. Gelsomino, G. Cicco et al. // European Journal of Cardio-Thoracic Surgery. 2008. Vol.33. Pp.573-82.Luo X.L. Clinical and echocardiographic characteristics of mitral chordal rupture from 292 hospitalized patients / X.L. Luo, S.B. Qiao, J.S. Yuan et al.// Zhonghua Xin Xue Guan Bing Za Zhi. 2009. Vol. 37(3). Pp.253-6.Morris A.L. Hypertrophic obstructive cardiomyopathy complicated by ruptured chordae tendinea to the posterior mitral leaflet and severe congestive heart failure / A.L.  Morris, I. Moheb // The Canadian Journal of Cardiology. 2009. Vol. 25(7). e259-e260.Simmers T.A. Traumatic papillary muscle rupture / T.A. Simmers, H.W. Meijburg, A.B. Rivière // Annals of Thoracic Surgery. 2001. Vol. 72. Pp.257-9.