Pattern of connection between papillary muscle and chordae tendineae of left ventricle

2012 ◽  
Vol 54 (4) ◽  
pp. 275
Author(s):  
Hasan Ozan ◽  
Necdet Kocabiyik ◽  
Birol Demirel ◽  
Bulent Yalcin ◽  
Ayhan Comert
Keyword(s):  
Left Ventricle ◽  
Papillary Muscle ◽  
Chordae Tendineae

scholarly journals Euler’s Elastica-Based Biomechanics of the Papillary Muscle Approximation in Ischemic Mitral Valve Regurgitation: A Simple 2D Analytical Model

Materials ◽  
2019 ◽  
Vol 12 (9) ◽  
pp. 1518 ◽  
Author(s):  
Francesco Nappi ◽  
Angelo Rosario Carotenuto ◽  
Sanjeet Singh Avtaar Singh ◽  
Christos Mihos ◽  
Massimiliano Fraldi
Keyword(s):  
Mitral Valve ◽  
Left Ventricle ◽  
Mitral Regurgitation ◽  
Papillary Muscle ◽  
Pathological Condition ◽  
Heart Rhythm ◽  
Variable Degree ◽  
Chordae Tendineae ◽  
Left Ventricle Remodeling ◽  
Euler’S Elastica

Ischemic mitral regurgitation (IMR) occurs as an adverse consequence of left ventricle remodeling post-myocardial infarction. A change in mitral valve configuration with an imbalance between closing and tethering forces underlie this pathological condition. These abnormalities lead to impaired leaflet coaptation and a variable degree of mitral regurgitation, which can in turn influence the ventricular filling status, the heart rhythm and the afterload regardless of the residual ischemic insult. The IMR correction can be pursued through under-sizing mitral annuloplasty and papillary muscle approximation to restore the mitral valve and left ventricle physiological geometry to, consequently, achieve normalization of the engaged physical forces. Because the structures involved undergo extremely large deformations, a biomechanics model based on the Euler’s Elastica –the mitral leaflet– interlaced with nonlinear chordae tendineae anchored on papillary muscles has been constructed to elucidate the interactions between closing and tethering forces. The model takes into account the actual updated geometrical and mechanical features of the valvular and subvalvular apparatuses in physiological and IMR conditions, as well as in case of papillary muscle approximation, finally furnishing ad hoc geometry-based mathematical relations that could be utilised to support—and optimize—the relevant choices in cardiac surgery.

scholarly journals Comparative Study Between the Papillary Muscles of the Right Ventricle and the Left Ventricle Papillary Muscles

2018 ◽  
Vol 24 (2) ◽  
pp. 77-81
Author(s):  
Tobă Marius ◽  
Iliescu Dan Marcel ◽  
Bordei Petru ◽  
Popescu-Chiriloaie Cristina ◽  
Gheorghiţescu Jancă Ruxandra
Keyword(s):  
Left Ventricle ◽  
Right Ventricle ◽  
Comparative Study ◽  
Upper Extremity ◽  
Papillary Muscle ◽  
Muscle Group ◽  
Ventricular Wall ◽  
Papillary Muscles ◽  
Chordae Tendineae ◽  
The Right

Abstract We used formalinized heart dissection obtained from forensic laboratory in Constanta, analyzing the papillary muscles and their tendon chordae. We studied at the papillary muscles the number of forms that could be in single or multiple muscular bodies, encountering more than five body muscles in a papillary muscle group. We measured using caliper graduated in millimeters, the height of each papillary muscle body (from the base to its upper end) and its thickness at the base and at its upper extremity. Chordae tendon we examined in terms of their origin and number at the level of each papillary muscle, the dimensions (length and thickness), orientation and how they end at the atrioventricular valves. We noted the presence of „false”chordae tendineae, which were disposed between the papillary muscle and the ventricular wall. The results were compared with data in the literature that I had the opportunity to consult

Brugada syndrome unmasked by left ventricle posteromedial papillary muscle ventricular tachycardia: Coincidence or consequence

2021 ◽  
Author(s):  
Javier Pinos ◽  
Tiago Luiz Luz Leiria ◽  
Bernardo Boccalon ◽  
Marcelo Lapa Kruse ◽  
Gustavo Glotz De Lima
Keyword(s):  
Ventricular Tachycardia ◽  
Left Ventricle ◽  
Papillary Muscle ◽  
Brugada Syndrome

Inter-Basal and Septal Connections of Papillary Muscles - An Anatomical Rationale for Rhythmic Opening of AV Valves - A Multicentric Medical College Based Cross Sectional Study

2021 ◽  
Vol 8 (31) ◽  
pp. 2865-2869
Author(s):  
Praveen Mulki Shenoy ◽  
Amith Ramos ◽  
Narasimha Pai ◽  
Bharath Shetty ◽  
Aravind Pallipady Rao
Keyword(s):  
Left Ventricle ◽  
Papillary Muscle ◽  
Interventricular Septum ◽  
Cross Sectional Study ◽  
Papillary Muscles ◽  
Cross Sectional ◽  
Medical College ◽  
Moderator Band ◽  
Almost All ◽  
And Function

BACKGROUND The papillary muscle basal connections have significant clinical implications. Variety of studies done on its morphology and function by various specialists in different departments. A close look on these revealed the interconnections of papillary muscles to one another and to the interventricular septum of both ventricles is related to uncoordinated contractions of papillary muscles, leading to hyper or hypokinesia or prolapse or even its rupture. METHODS Our study done in 25 formalin soaked hearts revealed after the deep and meticulous dissection, reflecting the walls of ventricles laterally the numerous interconnections of papillary muscles at its bases and IVS. Ventricles are opened by inverted ‘L’ shaped incision and its reflected more laterally till all the papillary muscles is visible in one frame after incising the moderator band. The connections were noted, measured, photographed, tabulated, compared with similar studies and analysed with experts with respective fields. RESULTS Almost all the specimens did have the interconnections. Further the post mortem findings of the cardiac related deaths with involvement of papillary muscles suggest damage to such ‘bridges’. The moderator band extensions to the base of right APM, and its extension to the posterior groups is noted in all the specimens. The bridge from the IVS to bases of both the groups of papillary muscles is noted in left ventricle. In90% of specimens the one PPM is found to be loosely connected, more so in left ventricle. CONCLUSIONS We are of a conclusion that such basal interconnections and to the interventricular septum are responsible for rhythmic contractions of papillary muscles of both ventricles. Since the AV valves have to open simultaneously, interconnections becomes mandatory as the impulse has to reach it before it reaches the trabeculae carniae. One of the Posterior papillary muscles is loosely connected to other papillary muscles, may be the reason for its rupture, more so in left ventricle. KEYWORDS Papillary Muscle, Interbasal Connection, Moderator Band, Valvular Prolapse, AV Valves

Traumatic tricuspid insufficiency in a kitten

1999 ◽  
Vol 35 (1) ◽  
pp. 21-24 ◽  
Author(s):  
JM Closa ◽  
A Font
Keyword(s):  
Pleural Effusion ◽  
Right Ventricle ◽  
Papillary Muscle ◽  
Atrioventricular Valve ◽  
Chordae Tendineae ◽  
Color Flow ◽  
Tricuspid Insufficiency ◽  
Muscle Insertion ◽  
Valve Insufficiency ◽  
The Right

A four-month-old, male, common European kitten developed pleural effusion and ascites after falling from a fourth-floor flat. Radiographic, bidimensional echocardiography and color-flow Doppler findings were compatible with right-sided atrioventricular valve insufficiency. Necropsy confirmed the diagnosis that tricuspid insufficiency resulted from the rupture of the chordae tendineae of the nonseptal cusp of the valve at the level of the cranial papillary muscle insertion in the right ventricle.

scholarly journals A comparative study of the morphology of mammalian true chordae tendineae of the atrioventricular valves

2015 ◽  
Vol 32 (02) ◽  
pp. 071-077 ◽  
Author(s):  
J. Hutchison ◽  
P. Rea
Keyword(s):  
Tricuspid Valve ◽  
Papillary Muscle ◽  
Papillary Muscles ◽  
Atrioventricular Valve ◽  
Chordae Tendineae ◽  
Atrioventricular Valves ◽  
Abrupt Transition ◽  
Significant Difference ◽  
Cardiac Valve Replacement ◽  
Transition Areas

Abstract Introduction: There is little literature on the subvalvular apparatus of the atrioventricular valves' of the heart. This investigation aimed to compare mammalian atrioventricular valve subvalvular apparatus; in particular the number and characteristics of true chordae tendineae (TChT) and their tissue transition areas - proximally with the valve leaflets, and distally with the papillary muscles. Materials and Methods: Sheep, pig and bovine fresh hearts were dissected (n = 9). The subvalvular apparatus of the mitral and tricuspid valves were visualised. Each TChT origin was grouped and counted according to papillary muscle and valve, and compared within and across the species. Appropriate statistical analyses were then applied to identify any correlations. Histological examination of the transition areas was also performed. Results: The tricuspid valve had significantly more TChT than the mitral (p = 0.04). On comparison of the TChT counts in both valves across the species, there were no signiicant differences. An unexpected inding was the abrupt transition from chordae collagen to papillary muscle. Conclusion: The tricuspid valve is under less pressure than the mitral but is connected to significantly more TChT. We have shown no significant difference between the numbers of TChT for each papillary muscle in either mitral or tricupsid valves across the species. Veterinary teaching emphasises that there is no clinically signiicant difference at a gross morphology level between these species. This is the irst study to report that there is also no signiicant difference at the subvalvular level, and this has direct translational relevance for bioprosthetic cardiac valve replacement.

Spontaneous rupture of papillary muscle of the left ventricle

1950 ◽  
Vol 40 (3) ◽  
pp. 354-362 ◽  
Author(s):  
Harold Schwartz ◽  
Francis R. Canelli
Keyword(s):  
Left Ventricle ◽  
Papillary Muscle ◽  
Spontaneous Rupture

On the Interaction of Natural and Mechanical Heart Valve Leaflets With the Chordae Tendineae

2002 ◽  
Author(s):  
Amber R. Mace ◽  
Pavlos P. Vlachos ◽  
Demetri P. Telionis
Keyword(s):  
Mitral Valve ◽  
Left Ventricle ◽  
Mechanical Heart Valve ◽  
Postoperative Mortality ◽  
Decisive Role ◽  
Flow Dynamics ◽  
Papillary Muscles ◽  
Posterior Leaflet ◽  
Chordae Tendineae ◽  
Atrioventricular Ring

Long before mitral valve replacement (MVR) became a routine operation, physiologic studies indicated that the continuity of mitral leaflets with papillary muscles, chordae tendineae (CT) and the atrioventricular ring may play a decisive role in the function of the left ventricle (LV) [1]. This led Lillehei et al. [2] to establish a procedure whereby the posterior leaflet, its CT and papillary muscles were preserved in MVRs. These and other studies indicated a significant reduction of postoperative mortality compared to conventional MVR. Though developed in the early 1960s by Lillehei, the technique of chordal preservation was not initially accepted. It wasn’t until 1983 that surgeons began to revive the concept of MVR with preservation of the CT. As this technique became more widely known, many clinical studies were performed; however, very few have been conducted which examine the effect of leaflets and CT on flow dynamics.

Sign in / Sign up

Export Citation Format

Share Document