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. 2011 May 1;2011(5):1.
doi: 10.1093/jscr/2011.5.1.

A rare case of an aberrant anterior mitral valve chord resulting in severe mitral regurgitation

H Khan  1 , S Chaubey  1 , Ca Kenny  1 , P MacCarthy  1 , O Wendler  1
Affiliations

A rare case of an aberrant anterior mitral valve chord resulting in severe mitral regurgitation

H Khan et al. J Surg Case Rep. .

Abstract

A 49 year old female presented with severe dyspnoea due to mitral regurgitation. Echocardiography revealed an aberrant mitral valve chord causing severe mitral regurgitation. The aberrant chord extended between the anterior mitral valve leaflet (AMVL) and the atrial septum causing AMVL prolapse. Resection of the aberrant chord and correction of the AMVL using synthetic Gore-Tex sutures was performed. The patient made an uneventful recovery with post-op echocardiography demonstrating normal mitral valve function.

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Figures

Figure 1
Figure 1
Transoesopahgeal echocardiogram showing aberrant chord in the left atrium, extending from the anterior mitral valve leaflet to the left atrial septum (white arrow).
Figure 2
Figure 2
Intra operative picture after the mitral valve is exposed through the inter atrial groove, showing an aberrant chord attached to the A2 segment of the anterior mitral valve leaflet and the atrial septum (Black arrow).
See this image and copyright information in PMC

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