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October 24, 1953


JAMA. 1953;153(8):729. doi:10.1001/jama.1953.02940250035012

Estimation of the degree of mitral insufficiency in candidates for mitral commissurotomy is of considerable importance. While mild to moderate regurgitation need not significantly effect the outcome, severe regurgitation is a contraindication to the procedure.1 With a view to evaluating criteria commonly used for diagnosing mitral regurgitation, Abelmann, Ellis, and Harken2 have correlated the clinical findings in candidates for valvuloplasty with pathological anatomic observations made at surgery or at autopsy. Sixty-four persons in all were studied. In 62 of these some degree of mitral stenosis was found at operation. Twenty-seven were found at operation to have some degree of mitral regurgitation, which was graded according to the size and force of the regurgitant jet as felt by the surgeon's finger. One was found to have pure mitral insufficiency at operation, and in one the diagnosis of pure mitral insufficiency suspected during life was confirmed at death, which occurred