Abstract
The mitral valve apparatus is composed of the anterior and posterior leaflets attached by chordae tendinae to their respective papillary muscles. The anterior leaflet is triangular and has a fibrous attachment to the aortic root; the posterior leaflet is quadrangular and is attached to two-thirds of the annulus fibrosis. The two leaflets are joined by commissural tissue. Whereas the anterior leaflet is mobile, the posterior is restricted in its movement and acts as a buttress so that in systole both leaflets are firmly apposed along their margins.
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References
Armstrong TG, Mitha AS, Weir EK, Chesler E: Non-invasive observation on the initial low frequency vibrations of the first heart sound—correlations with the “presystolic murmur” in mitral stenosis. Br Heat J 40: 750, 1978.
Bland EF, Jones TD: Rheumatic fever and rheumatic heart disease. A twenty year report on 1000 patients followed since childhood. Circulation 4: 836, 1951.
Criley JM, Hermer AJ: The crescendo presystolic murmur of mitral stenosis with atrial fibrillation. N Engl J Med 285: 1284, 1971.
Dack S, Bleifer S, Grishman A, Donoso E: Mitral stenosis: Auscultatory and phonocardiographic findings. Am J Cardiol 5: 815, 1960.
Lakier JB, Pocock WA, Gale GE, Barlow JB: Haemodynamic and sound events preceding first heart sound in mitral stenosis. Br Heart J 34: 1152, 1972.
Levy MJ, Edwards JE: Anatomy of mitral insufficiency. Prog Cardiovasc Dis 5: 119, 1962.
Olson KH: The natural history of 271 patients with mitral stenosis under medical treatment. Br Heart J 24: 349, 1962.
Perloff JK, Harvey WP: Clinical recognition of tricuspid stenosis. Circulation 22: 346, 1960.
Rahimtoola, SH: Perspective on valvular heart disease: An update. J.A.C.C. 14: 1: 1–23, 1989.
Rapaport E: Natural history of aortic and mitral valve disease. Am J Cardiol 35: 221, 1975.
Spaynuolo M, Kloth N, Taranta A, Doyle E, Pasternack B: Natural history of aortic regurgitation: Criteria predictive of death, congestive heart failure and angina in young patients. Circulation 44: 368, 1971.
Wood P: An appreciation of mitral stenosis: I Clinical features. II Investigations and results. Br Med J 1: 1051, 113, 1954.
Wood P: Aortic stenosis. Am J Cardiol 1: 553, 1958.
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© 1993 Springer-Verlag New York, Inc.
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Chesler, E. (1993). Rheumatic Valvular Disease. In: Clinical Cardiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9183-8_12
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DOI: https://doi.org/10.1007/978-1-4613-9183-8_12
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