title: [Rupture of the mitral chordae tendinae].
abstract: Twenty-seven cases of ruptured chordae tendineae have been discovered during surgery for mitral regurgitation (9,3 %) : the highest incidence of ruptured chordae tendineae has been found among pure mitral insufficiency (36 %). In thirteen cases, the rupture was isolated, without any other valvular lesion. The syndrome described as characteristic of rupture was present in one third of our patients : isolated cases do not differ clinically from the others but for a more frequent acute evolution. In pure or predominant mitral regurgitation, surgery seems needed when clinical aggravation, acute or progressive, cannot be explained by arrhythmia, anaemia, pulmonary embolism, hyperthyroidism.
mesh_terms: D000328:Adult; D000368:Aged; D006332:Cardiomegaly / Q000150:complications; D002648:Child; D002815:Chordae Tendineae; D004697:Endocarditis, Bacterial / Q000150:complications; D005260:Female; D006331:Heart Diseases / Q000150:complications*; D006349:Heart Valve Diseases / Q000150:complications; D006801:Humans; D008297:Male; D008875:Middle Aged; D008944:Mitral Valve Insufficiency / Q000209:etiology*; D012214:Rheumatic Heart Disease / Q000150:complications; D012422:Rupture, Spontaneous
vernacular_title: La rupture des cordages mitraux