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Nonrheumatic Mitral Insufficiency in Children

Nonrheumatic Mitral Insufficiency in Children Abstract Mitral insufficiency is commonly associated with other intracardiac abnormalities. Congenital mitral insufficiency is usually seen with endocardial cushion defects. Edwards and Burchell2 described the pathologic anatomy of congential mitral insufficiency. Other authors reporting autopsy findings in mitral insufficiency are Semans and Taussig,7 Prior,6 and Kjellberg.3 The various causes given are abnormal attachment of the chordae tendineae, lack of valve substance, clefts of the valvular structures, duplication of the mitral valve, and endocardial fibroelastosis. The association of patent ductus arteriosus with mitral insufficiency has been noted by Linde and Adams.4 Mitral insufficiency as an isolated nonrheumatic lesion does not seem to be as rare as previously thought. The diagnosis can be suspected from the physical findings alone and proved by various diagnostic procedures. Surgical repair of this anomaly has been reported recently. Starkey8 described 2 patients with isolated mitral regurgitation. One small child had a References 1. Creech, O., Jr.; Ledbetter, M. K., and Reemtsma, K.: Congenital Mitral Insufficiency with Cleft Posterior Leaflet , Circulation 25:390, 1962.Crossref 2. Edwards, J. E., and Burchell, H. B.: Pathologic Anatomy of Mitral Insufficiency , Proc. Mayo Clin. 33:497, 1958. 3. Kjellberg, S. R.; Mannheimer, E.; Rudhe, U., and Johnson, B.: Diagnosis of Congenital Heart Disease , Chicago, The Year Book Medical Publishers, Inc., 1959. 4. Linde, L. M., and Adams, F. H.: Mitral Insufficiency and Pulmonary Hypertension Accompanying Patent Ductus Arteriosus: Report of 3 Cases , Amer. J. Cardiol. 3:740, 1959.Crossref 5. Morris, J. D.; Sloan, H.; Wilson, W. S., and Brandt, R. L.: An Appraisal of Clinical Results in Open Mitral Valvuloplasty , J. Thor. Cardiov. Surg. 43:17, 1962. 6. Prior, J. T.: Congenital Anomalies of the Mitral Valve: Two Cases Associated with Long Survival , Amer. Heart J. 46:649, 1953.Crossref 7. Semans, J. H., and Taussig, H. B.: Congenital Aneurysmal Dilatation of the Left Auricle , Bull. Johns Hopkins Hosp. 38:404, 1938. 8. Starkey, G. W. B.: Surgical Experiences in the Treatment of Congenital Mitral Stenosis and Mitral Insufficiency , J. Thor. Cardiov. Surg. 38:336, 1959. 9. Talner, N. S.; Stern, A. M., and Sloan, H. E., Jr.: Congenital Mitral Insufficiency , Circulation 23:339, 1961.Crossref http://www.deepdyve.com/assets/images/DeepDyve-Logo-lg.png Archives of Surgery American Medical Association

Nonrheumatic Mitral Insufficiency in Children

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References (9)

Publisher
American Medical Association
Copyright
Copyright © 1963 American Medical Association. All Rights Reserved.
ISSN
0004-0010
eISSN
1538-3644
DOI
10.1001/archsurg.1963.01310070106014
Publisher site
See Article on Publisher Site

Abstract

Abstract Mitral insufficiency is commonly associated with other intracardiac abnormalities. Congenital mitral insufficiency is usually seen with endocardial cushion defects. Edwards and Burchell2 described the pathologic anatomy of congential mitral insufficiency. Other authors reporting autopsy findings in mitral insufficiency are Semans and Taussig,7 Prior,6 and Kjellberg.3 The various causes given are abnormal attachment of the chordae tendineae, lack of valve substance, clefts of the valvular structures, duplication of the mitral valve, and endocardial fibroelastosis. The association of patent ductus arteriosus with mitral insufficiency has been noted by Linde and Adams.4 Mitral insufficiency as an isolated nonrheumatic lesion does not seem to be as rare as previously thought. The diagnosis can be suspected from the physical findings alone and proved by various diagnostic procedures. Surgical repair of this anomaly has been reported recently. Starkey8 described 2 patients with isolated mitral regurgitation. One small child had a References 1. Creech, O., Jr.; Ledbetter, M. K., and Reemtsma, K.: Congenital Mitral Insufficiency with Cleft Posterior Leaflet , Circulation 25:390, 1962.Crossref 2. Edwards, J. E., and Burchell, H. B.: Pathologic Anatomy of Mitral Insufficiency , Proc. Mayo Clin. 33:497, 1958. 3. Kjellberg, S. R.; Mannheimer, E.; Rudhe, U., and Johnson, B.: Diagnosis of Congenital Heart Disease , Chicago, The Year Book Medical Publishers, Inc., 1959. 4. Linde, L. M., and Adams, F. H.: Mitral Insufficiency and Pulmonary Hypertension Accompanying Patent Ductus Arteriosus: Report of 3 Cases , Amer. J. Cardiol. 3:740, 1959.Crossref 5. Morris, J. D.; Sloan, H.; Wilson, W. S., and Brandt, R. L.: An Appraisal of Clinical Results in Open Mitral Valvuloplasty , J. Thor. Cardiov. Surg. 43:17, 1962. 6. Prior, J. T.: Congenital Anomalies of the Mitral Valve: Two Cases Associated with Long Survival , Amer. Heart J. 46:649, 1953.Crossref 7. Semans, J. H., and Taussig, H. B.: Congenital Aneurysmal Dilatation of the Left Auricle , Bull. Johns Hopkins Hosp. 38:404, 1938. 8. Starkey, G. W. B.: Surgical Experiences in the Treatment of Congenital Mitral Stenosis and Mitral Insufficiency , J. Thor. Cardiov. Surg. 38:336, 1959. 9. Talner, N. S.; Stern, A. M., and Sloan, H. E., Jr.: Congenital Mitral Insufficiency , Circulation 23:339, 1961.Crossref

Journal

Archives of SurgeryAmerican Medical Association

Published: Jan 1, 1963

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