title: Ruptured papillary muscle after mitral valve replacement with preservation of chordae tendineae.
abstract: Many cardiac surgeons believe strongly that every effort should be made to preserve the continuity of the mitral anulus, chordae tendineae, and papillary muscles during mitral valve replacement in order to maximize ventricular function and maintain normal ventricular geometry. We treated a patient with spontaneous papillary muscle rupture after mitral valve replacement in whom efforts had been made to preserve continuity of the mitral mechanism.
authors.affiliation: Department of Thoracic and Cardiovascular Surgery, Kerckhoff Clinic Foundation, Bad Nauheim, Germany.
authors.forename: P
authors.initials: P
authors.lastname: Lemke
authors.forename: M
authors.initials: M
authors.lastname: Roth
authors.forename: B
authors.initials: B
authors.lastname: Kraus
authors.forename: S
authors.initials: S
authors.lastname: Hohe
authors.forename: W P
authors.initials: WP
authors.lastname: Klövekorn
authors.forename: E P
authors.initials: EP
authors.lastname: Bauer
mesh_terms: D000328:Adult; D002815:Chordae Tendineae / Q000293:injuries* / Q000601:surgery; D017548:Echocardiography, Transesophageal; D004724:Endoscopy; D005260:Female; D019918:Heart Valve Prosthesis Implantation; D006801:Humans; D008943:Mitral Valve / Q000601:surgery*; D008944:Mitral Valve Insufficiency / Q000000981:diagnostic imaging / Q000601:surgery*; D010210:Papillary Muscles / Q000293:injuries* / Q000601:surgery; D011183:Postoperative Complications / Q000000981:diagnostic imaging / Q000601:surgery*; D012086:Reoperation; D012422:Rupture, Spontaneous