Frequency and diameter dependent viscoelastic properties of mitral valve chordae tendineae

This study aimed to characterise viscoelastic properties of different categories of chordae tendineae over a range of frequencies. Dynamic Mechanical Analysis (DMA) was performed using a materials testing machine. Chordae (n=51) were dissected from seven porcine hearts and categorised as basal, marginal, strut or commissural. Chordae were loaded under a sinusoidally varying tensile load at a range of frequencies between 0.5 and 5 Hz, both at a standardised load (i.e. same mean load of 4 N for all chordae) and under chordal specific loading (i.e. based on in vivo loads for different chordae). Storage modulus and stiffness were frequency-dependent. Loss modulus and stiffness were frequency-independent. Storage and loss moduli, but not stiffness, decreased with chordal diameter. Therefore, strut chordae have the lowest moduli and marginal chordae the highest moduli. The hierarchy of dynamic storage and loss moduli is: marginal, commissural, basal and strut. In conclusion, viscoelastic properties of chordae are dependent on both frequency and chordal type. Future/novel replacement chordal materials should account for frequency and diameter dependent viscoelastic properties of chordae tendineae.