IJCRR - 6(3), February, 2014
Pages: 01-06
MORPHOMETRIC ANALYSIS OF CHORDA TENDINAE OF MITRAL VALVE IN HUMAN HEARTS
Author: S. Kavitha, A. Anand, K.Y. Manjunath
Category: Healthcare
[Download PDF]
Abstract:
Objective: Chorda tendinae are the connecting link between heart valves and the ventricular chambers. In valve replacement surgeries, the effective post surgical performance of the valve depends on the length of the chordae which are anchored. This study aims at giving a definitive measurement of the chordae from the papillary muscle of the ventricle to the leaflet of the valve so that an operating surgeon can have a fair idea of how much length of the chordae can be sacrificed. Materials and Methods: 50 human hearts were studied and the length, breadth and the numerical count and the position of the chordae of the mitral valve were studied. Results: The mean length of anterior chorda was 12.77mm ±4.03 S.D and posterior 12.33mm ±3.89 S.D. The mean breadth of anterior chorda was .28mm± .20 S.D and posterior .25mm ± 0.14 S.D .The anterior papillary muscle contained around an average of 10.42 ± 2.48 S.D chordae and the posterior papillary muscle contained around an average of 9.72 ± 2.39 S.D chordae. Based on the position of attachment, lateral chordae were approximately 73.22% and apical chordae 19.06% and marginal chordae was 7.72%. Conclusion: The length and the breadth of the chordae of the anterior papillary muscle were more than the length and breadth of the posterior papillary muscle. Approximate measurements of chordae will give a definitive value in mitral valvular replacement surgeries.
Keywords: chorda, chordae, tendinae, mitral valve, ventricle, leaflet, papillary muscle
Citation:
S. Kavitha, A. Anand, K.Y. Manjunath. MORPHOMETRIC ANALYSIS OF CHORDA TENDINAE OF MITRAL VALVE IN HUMAN HEARTS International Journal of Current Research and Review. 6(3), February, 01-06
References:
REFERENCES
1. Susan Standring. Gray’s Anatomy, 39th Edition. Anatomical basis of clinical practice, Churchill Livingstone, London. 2005; 39:1008.
2. Susan Standring. Gray’s Anatomy, 40th Edition. Anatomical basis of clinical practice, Churchill Livingstone, London. 2008; 40:970.
3. Miller DW Jr, Johnson DD, Ivey TD. Does preservation of the posterior chordae tendinae enhance survival during mitral valve replacement? Ann Thoracic Surg 1979; 28:22- 7.
4. Trites PN, Kiser JC, Johnson C, et al. Occlusion of Medtronic Hall mitral valve prosthesis by ruptured papillary muscle and chordae tendinae. J Thorac Cardiovasc Surg 1984; 88:301-2.
5. Shigehito Miki, Kenji Kusuhara, Yuichi Ueda et al. Mitral valve Replacement with preservation of chordae tendinae and papillary muscles in Ann Thorac Surg Jan 1988; 45: 28- 34.
6. Spence PA, Peniston CM, David TE, Mihic N, et al. Toward a better understanding of etiology of left ventricular dysfunction after mitral valve replacement: An experimental study with possible clinical implications. Ann Thorac Surg 1986; 41:363-371.
7. Gulyaeva AS, Roshchevskaya IM. Morphology of moderator bands (Septomarginal Trabecula) in porcine heart ventricles. J Vet.Med – Anatomia, Histologia, Embryologia, 2012; 41:1-9.
8. Roberts WC, Cohen LS .Anomalous left ventricular band. An unemphasized cause of a precordial musical murmur. Am.J.Cardiol, 1969; 23:735-8.
9. Jose Luiz Dancini, Pablo Maria Alberto Pomerantzeff,Guilherme Sobreira Spina, et al. Valve Replacement with Chordal preservation and Valvuloplasty for Chronic Mitral Insufficiency. Arq Bras Cardiol 2004; volume 82: 243-50.
10. Gerda L Van Rijk et al. Evolving significance of Human chordae Tendineae. Am. J. of Card Surg 1994; 9:255 – 261.
11. Harken D. E, Ellis L.B, Ware P.F, Norman L.R. The surgical treatment of mitral stenosis, valvuloplasty in New England J Med 1948; 238: pp: 801 – 806.
12. Silverman M E, Hurst J.W, et al. The mitral complex: interaction of anatomy, physiology and pathology of the mitral annulus, mitral valve leaflets, Chordae tendineae and papillary muscle. Am heart J 1968; 76: 399.
13. Millington-Sanders C, Meir A, Lawrence L, Stolinski C. Structure of chorda tendineae in the left ventricle of the human heart. Journal of Anatomy. 1988; 192:573 – 581.
14. Lillehei CW, Levy MJ, Bonnabeau RC. Mitral valve replacement with preservation of papillary muscles and chordae tendineae. J Thorac Cardiovasc Surg 1964; 47:532.
|