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Anomalous left atrial chorda and its association with mitral regurgitation


Departments of Cardiac Anesthesia and Cardiacthoracic and Vascular Surgery, Amrita Institute of Medical Sciences and Research Center, Cochin, Kerala, India

Correspondence Address:
Thushara Madathil
Assistant Professor, Department of Cardiac Anesthesia, Amrita Institute of Medical Sciences and Research Center, Cochin-682 041, Kerala
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_60_22

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Year : 2022  |  Volume : 25  |  Issue : 3  |  Page : 368-370

 

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Anomalous left atrial chorda is associated with mitral regurgitation. A young woman presenting for mitral valve repair with the diagnosis of mid-segment (A2) of anterior mitral leaflet prolapse causing severe mitral regurgitation. Transesophageal echocardiography examination in pre-bypass period showed an anomalous chorda attaching A2 to the left atrial roof, tethering the anterior mitral leaflet toward the atrial wall. Surgical findings confirmed the abnormally attached chordae and an absence of normal chorda of A2 segment. The anomalous chorda was resected and neo-chordae placed between the A2 segment and papillary muscles and annulus strengthened with an annuloplasty ring.






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Departments of Cardiac Anesthesia and Cardiacthoracic and Vascular Surgery, Amrita Institute of Medical Sciences and Research Center, Cochin, Kerala, India

Correspondence Address:
Thushara Madathil
Assistant Professor, Department of Cardiac Anesthesia, Amrita Institute of Medical Sciences and Research Center, Cochin-682 041, Kerala
India
Login to access the Email id

Source of Support: None, Conflict of Interest: None


DOI: 10.4103/aca.aca_60_22

Rights and Permissions

Anomalous left atrial chorda is associated with mitral regurgitation. A young woman presenting for mitral valve repair with the diagnosis of mid-segment (A2) of anterior mitral leaflet prolapse causing severe mitral regurgitation. Transesophageal echocardiography examination in pre-bypass period showed an anomalous chorda attaching A2 to the left atrial roof, tethering the anterior mitral leaflet toward the atrial wall. Surgical findings confirmed the abnormally attached chordae and an absence of normal chorda of A2 segment. The anomalous chorda was resected and neo-chordae placed between the A2 segment and papillary muscles and annulus strengthened with an annuloplasty ring.






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