Three-dimensional transoesophageal echocardiography of an aberrant chordae tendinae causing aortic valvular regurgitation

Karia, Nina; Adlam, David; Dhunnookchand, Ryan; Sabharwal, Nikant

doi:10.1093/eurheartj/ehq425

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“…In addition, three-dimensional TEE plays an important supplemental role in the diagnosis. 15) However, fibrous strands should be differentiated from Lambl's excrescences and infectious and noninfectious neoplasms when abnormal lines are detected at the aortic valves. First, Lambl's excrescences 16) are slender, filiform, or papillary structures located on the peripheries of valves and are always found in patients of advanced age.…”

Section: Discussionmentioning

confidence: 99%

Aortic Chordae Tendineae Strands with Significant Aortic Regurgitation

et al. 2021

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The aortic chordae tendineae strands are suggested to be embryonic remnants of the cusp formation process. We herein describe a 70-year-old male who was admitted to our hospital for shortness of breath and chest tightness. During echocardiographic examination, severe aortic regurgitation with a ruptured fibrous strand was detected. Moreover, another fibrous strand was found by three-dimensional transesophageal echocardiography (TEE). To our knowledge, this is the first literature review of aortic chordae tendineae strands, including diagnosis, management, and mechanisms of aortic regurgitation due to such informal strands.

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Section: Discussionmentioning

confidence: 99%