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The chordae tendineae (sg.: chorda tendinea) or tendinous cords, colloquially known as the heart strings, are inelastic cords of fibrous connective tissue that connect the papillary muscles to the tricuspid valve and the mitral valve in the heart.
The papillary muscles are muscles located in the ventricles of the heart. They attach to the cusps of the atrioventricular valves (also known as the mitral and tricuspid valves) via the chordae tendineae and contract to prevent inversion or prolapse of these valves on systole (or ventricular contraction).
The trabeculae carneae also serve a function similar to that of papillary muscles in that their contraction pulls on the chordae tendineae, preventing inversion of the mitral (bicuspid) and tricuspid valves towards the atrial chambers, which would lead to subsequent leakage of the blood back into the atria.
Parachute mitral valve occurs when all chordae tendineae of the mitral valve are abnormally attached to a single (or fused) papillary muscle. Straddling Mitral Valve occurs when the mitral valve's chordal attachments straddles, or goes through, a ventricular septal defect (VSD) and so has chordae originating on both sides of the ventricular ...
The moderator band (also known as septomarginal trabecula [1]) is a band of cardiac muscle found in the right ventricle of the heart. [2] [3] [4] It is well-marked in sheep and some other animals, including humans.
As the left posterior fascicle is shorter and broader than the right, impulses reach the papillary muscles just prior to depolarization, and therefore contraction, of the left ventricle myocardium. This allows pre-tensioning of the chordae tendinae, increasing the resistance to flow through the mitral valve during left ventricular contraction. [5]
Parachute mitral valve (or PMV) is a rare congenital heart disease where the mitral valve only has a single papillary muscle from which all chordae tendineae originate. It is caused by an embryologic failure of papillary muscles to divide into two normally distinct columns, giving the mitral valve orifice and chordea an irregular, parachute ...
In acute MR secondary to a mechanical defect in the heart (i.e., rupture of a papillary muscle or chordae tendineae), the treatment of choice is mitral valve surgery. If the patient is hypotensive prior to the surgical procedure, an intra-aortic balloon pump may be placed in order to improve perfusion of the organs and to decrease the degree of MR.