Eur J Cardiothorac Surg 2005;27:710
© 2005 Elsevier Science NL
Images in cardio-thoracic surgery |
Giant, free flotating tendinous cord in the left ventricle
Theo Kofidis*,
Christoff Bara,
Axel Haverich,
Uwe Klima
Division of Thoracic and Cardiovascular Surgery, Hannover Medical School, Hannover, Germany
Received 14 November 2004;
received in revised form 2 December 2004;
accepted 6 December 2004.
* Corresponding author. Address: Klinik fuer Thorax-, Herz- und Gefaesschirurgie, Medizinische Hochschule Hannover, Carl Neuberg Str. 1, Hannover, Germany. Tel.: +49 511 5326580; fax: +49 511 5325404. (E-mail: tkofidis{at}stanford.edu).
Key Words: Cordae tendineae Abnormalities Tendineae/ultrasonography (MESH database)
Echocardiography reveals a free flotating structure, which extends through the entire left ventricle and bears danger of prolaps through the leaflets of the mechanical conduit to be implanted (Fig. 1). Intraoperative view of the retracted tendinous cord reveals a bulky structure with mesh-like insertion into the anterior leaflet of the mitral valve (Fig. 2).

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Fig. 1. Preoperative echocardiography reveals a bulky free flotating structure in the two-chamber view of the left ventricle.
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