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Abstracts |

Combined Aortic and Mitral Incompetence.

Kenneth I. Shine, M.D.; Roman W. DeSanctis, M.D., F.A.C.P.; Charles A. Sanders, M.D.; and W. Gerald Austen, M.D.
Ann Intern Med. 1968;68(5):1161-1162. doi:10.7326/0003-4819-68-5-1161_3
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This excerpt has been provided in the absence of an abstract.

The problem of mitral incompetence complicating aortic regurgitation was analyzed in 39 patients. In each case the diagnosis was confirmed either at cardiac surgery or autopsy.

Three groups were defined according to the cause of mitral insufficiency: group I (12 patients)—rupture of mitral chordae tendineae; group II (13 patients)—mitral insufficiency as a consequence of advanced left ventricular failure; and group III (14 patients)—mitral insufficiency due to rheumatic mitral incompetence.

The clinical, hemodynamic, and radiographic features of the three groups were compared. Groups I and II showed many common features, including male predominance, preservation of sinus rhythm, and a small left


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