Influence of papillary muscle function on the mitral valve and left ventricular mechanics

  • E. Gams
  • S. Hagl
  • W. Heimisch
  • H. Meisner
  • N. Mendler
  • H. Schad
  • F. Sebening
Conference paper


The mitral valve is not only a plain heart valve, but a very complex structure, and as such, an important part of the left ventricular chamber (Fig. 1). Valvular annulus, valve leaflets, and chordae tendineae are connected to the left ventricular wall by papillary muscles. Muscle fibers originating from the atrioventricular annulus run towards the apex, and rise from there, radiating into the papillary muscles on the inner layer of the ventricular wall [3, 16]. Consequently, the papillary muscles are not only part of the mitral valve apparatus, but also are the connecting link between the mitral valve and the left ventricular wall.


Mitral Valve Papillary Muscle Left Ventricular Wall Leave Ventricular Pressure Wall Segment 
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Copyright information

© Springer-Verlag Berlin Heidelberg 1991

Authors and Affiliations

  • E. Gams
    • 1
    • 3
  • S. Hagl
    • 1
  • W. Heimisch
    • 2
  • H. Meisner
    • 2
  • N. Mendler
    • 2
  • H. Schad
    • 2
  • F. Sebening
    • 2
  1. 1.Dept. of Cardiac SurgerySurgical University ClinicHeidelbergGermany
  2. 2.Cardiovascular SurgeryGerman Heart Center MunichMunichGermany
  3. 3.Abteilung HerzchirurgieChirurgische Universitätsklinik HeidelbergHeidelberg 1Germany

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