Home|Journals Follow on Twitter| Subscribe to List

Directory for Medical Articles

Open Access


Gulhane Med J. 2012; 54(4): 275-278

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

Hasan Ozan, Necdet Kocabıyık, Birol Demirel, Bülent Yalçın, Ayhan Cömert.

Mitral homograft replacement requires a good knowledge about anatomy of the papillary muscles. In 60 (38 male, 22 female) cardiac preparations of various age (16-44 ages), branch distribution of the chordae tendineae and level of their fixation to the ventricular surface of the right and left cusps of mitral valves have been studied. Papillary muscles and chordae tendineae were examined and their geometrical arrangement was determined. Three groups of the left ventricular papillary muscle were defined. In group I (43.3%, 52/120) the basal part and the apex of the muscle were undivided. In group II (30%, 36/120) there were two heads; in subgroup II/A (20%, 36/120) the base of the papillary muscle was undivided and in II/B (10%, 12/120) it was divided into two separate parts. In group III (26.7%, 32/120) the papillary muscle had three heads. It was also observed that 2 to 15 chordae tendineae can originate from the apex of papillary muscle and 9 to 60 chordae tendineae can ended into the corresponding half of the valve insertions. Thus these definitions and morphologic types may be of great value during endoscopic and conventional mitral valve replacement or reconstruction of the chordae tendineae and in mitral valve homograft implantations.

Key words: Papillary muscle, chordae tendineae, mitral valve, left ventricular subvalvular apparatus, homograft implantation

Share this Article

American Journal of Preventive Medicine and Public Health


ScopeMed Home
Follow ScopeMed on Twitter
Author Tools
eJPort Journal Hosting
About ScopeMed
License Information
Terms & Conditions
Privacy Policy
Suggest a Journal
Publisher Login
Contact Us

The articles in Scopemed are open access articles licensed under the terms of the Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License (https://creativecommons.org/licenses/by-nc-sa/4.0/) which permits unrestricted, non-commercial use, distribution and reproduction in any medium, provided the work is properly cited.
ScopeMed is a Database Service for Scientific Publications. Copyright © ScopeMed® Information Services.
Scopemed Buttons