Endocarditis Chordal

Chordal endocarditis (e. chordalis) is an inflammation of the chordal filaments of the heart valves. Chordal filaments attach the valve leaflets to the annulus fibrosus and ensure their mobility.

With chordal endocarditis, the chordal filaments are damaged and destroyed. This leads to impaired mobility of the valve flaps and the occurrence of heart valve insufficiency.

The main causes of the development of chordal endocarditis:

1. Infectious endocarditis with damage to the heart valves (usually mitral and aortic)

2. Rheumatic valve lesions

3. Congenital valve abnormalities

4. Chest injuries

Clinical manifestations:

1. Signs of valve insufficiency (heart murmurs, shortness of breath, swelling)

2. Fever, chills with infective endocarditis

3. Embolic complications

Diagnosis is based on auscultation, ECG, EchoCG. Treatment includes antibiotics and, in some cases, surgical correction of the valves.

The prognosis depends on the timeliness of treatment. With adequate therapy, it is possible to restore the mobility of the valve leaflets. Untreated chordal endocarditis can lead to chronic heart failure.