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Angiology
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Anomalous Chordae Tendinae

A Source of Echocardiographic Confusion

Maurice H. Choo

Division of Cardiovascular Diseases, Department of Internal Medicine, National University of Singapore, Singapore, Singapore

B.L. Chia

Division of Cardiovascular Diseases, Department of Internal Medicine, National University of Singapore, Singapore, Singapore

D.C. Wu

Department of Cardiothoracic Surgery, Singapore General Hospital, Singapore, Singapore

Arthur T. Tan

Division of Cardiovascular Diseases, Department of Internal Medicine, National University of Singapore, Singapore, Singapore

Bernard K. Ee

Division of Cardiovascular Diseases, Department of Internal Medicine, National University of Singapore, Singapore, Singapore

A unique instance of an anomalous chorda tendinae visualized in the left ventricular outflow tract during M-Mode and two-dimensional echocardiog raphy, and subsequently confirmed during surgery for concomitant severe rheumatic valvular disease, is described. The M-Mode appearance can be confused with more serious forms of heart disease manifesting extraneous echoes in the outflow tract, and an approach to these echoes is described, based on a review of the literature.

Angiology, Vol. 33, No. 11, 756-767 (1982)
DOI: 10.1177/000331978203301108
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