Publication: Accessory left atrial cords: a case report and literature review
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Date
2022-05-16
Authors
Aranda Domene, Román ; Minano Frutos, Celia ; Arribas Leal, José M. ; Pérez Andreu, Joaquín ; Taboada Martín, Rubén ; Alfonso Colomer, Laura ; Moreno Moreno, José ; Cánovas López, Sergio
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Publisher
Wiley
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Description
© 2022 Wiley Periodicals LLC. This document is the Published version of a Published Work that appeared in final form in Journal of Cardiac Surgery. To access the final edited and published work see https://doi.org/10.1111/jocs.16608
Abstract
Introduction: Accessory left atrial cords are fibroelastic structures found in the left atrium. Left atrial cords may be associated with mitral valve disease, atrial fibrillation, stroke, and other congenital left-side anomalies. Methods:
We presented the case of a man with severe Mitral Regurgitation and two accessories left atrial cords attached to P2 scallop by a single tendon and performed a literature review using PUBMED/MEDLINE, Web of Science, and EMBASE databases on December 4, 2021. Results: According to our review, accessory left atrial cords were found more frequently in women (36 patients, 62%), more frequently attached to the mitral valve (66% of reports) and mitral regurgitation was the most frequently reported pattern of mitral valve disease (64.2%). No other cases of double left atrial cords attached to P2 segment were found. Conclusion: Accessory left atrial chords may be related to mitral valve disease and other left-side congenital abnormalities. These structures were found more frequently in females and A2 insertion was the most frequently observed pattern in the review.
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