Chordae tendineae

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Chordae tendineae
The chordae tendineae connect the valves to the heart muscle
Papillary muscles and chordae tendineae
Details
Identifiers
Latinchordae tendineae cordis
MeSHD002815
TA98A12.1.00.023
TA24047, 4069
FMA76527
Anatomical terminology

The chordae tendineae (sg.: chorda tendinea) or tendinous cords, colloquially known as the heart strings, are inelastic cords of

mitral valve in the heart.[1][2]

Structure

The chordae tendineae connect the

leaflet or cusp of the valves.[3] Chordae tendineae contain elastin in a delicate structure notably at their periphery.[4]

Tendon of Todaro

The tendon of Todaro is a continuation of the

septal cusp of the tricuspid valve, it makes up Koch's triangle. The apex of Koch's triangle is the location of the atrioventricular node.[5]

Function

A medical illustration showing a cross section of the heart and lungs, chordae tendineae visible.

During atrial systole, blood flows from the atria to the ventricles down the pressure gradient. Chordae tendineae are relaxed because the atrioventricular valves are forced open.[6]

When the ventricles of the heart contract in ventricular systole, the increased blood pressures in both chambers push the AV valves to close simultaneously, preventing backflow of blood into the atria. Since the blood pressure in atria is much lower than that in the ventricles, the flaps attempt to evert to the low pressure regions. The chordae tendineae prevent this prolapse by becoming tense, which pulls on the flaps, holding them in closed position.[6]

Clinical significance

Ruptured chordae tendineae

mitral insufficiency.[7][8]

Parachute mitral valve

Additional images

  • Papillary muscles and chordae tendineae
    Papillary muscles and chordae tendineae
  • Ultrasound showing redundant chordae tendineae[12]

See also

References

  1. ^ Hacking, Craig. "Chordae tendineae | Radiology Reference Article | Radiopaedia.org". Radiopaedia.
  2. ^ , retrieved 2020-11-25
  3. , retrieved 2020-11-25
  4. .
  5. .
  6. ^ .
  7. ^ , retrieved 2020-11-25
  8. , retrieved 2020-11-25
  9. ^ Llewelyn, Rhys. "Parachute mitral valve | Radiology Reference Article | Radiopaedia.org". Radiopaedia.
  10. ^ , retrieved 2020-11-25
  11. ^ , retrieved 2020-11-25
  12. ^ "UOTW #75 - Ultrasound of the Week". Ultrasound of the Week. 4 November 2016. Retrieved 27 May 2017.