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Inelastic cords of fibrous connective tissue connecting papillary muscles to heart valves

The chordae tendineae (: chorda tendinea) or tendinous cords, colloquially known as the heart strings, are inelastic cords of fibrous connective tissue that connect the papillary muscles to the tricuspid valve and the mitral valve in the heart.

The chordae tendineae connect the atrioventricular valves (tricuspid and mitral), to the papillary muscles within the ventricles. Chordae tendineae contain elastin in a delicate structure notably at their periphery.

The tendon of Todaro is a continuation of the Eustachian valve of the inferior vena cava and the valve of the coronary sinus. Along with the opening of the coronary sinus and 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.

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. 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. This can cause severe mitral insufficiency.