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Editorial
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Volume 335:1456-1458 November 7, 1996 Number 19
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The Timing of Surgery for Severe Mitral Regurgitation

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In this issue of the Journal, Ling et al.1 present a retrospective study of long-term clinical outcomes in a large group of patients with mitral regurgitation diagnosed at the Mayo Clinic. Because the study included only patients with a diagnosis of partial flail mitral leaflet, echocardiography could be used to document severe regurgitation in most patients (in earlier reports, the degree of mitral regurgitation was often uncertain); a valve-repair procedure was feasible in two thirds of the patients treated surgically. Although 71 percent of the 229 patients were in New York Heart Association (NYHA) functional class I or II when . . . [Full Text of this Article]

Address reprint requests to Dr. Ross at the Department of Medicine 0613B, University of California–San Diego, 9500 Gilman Dr., La Jolla, CA 92093-0613.

References


Related Letters:

Mitral Regurgitation Due to Flail Leaflet
Barlow J. B., Kinsley R. H., Fetscher S. R., Enriquez-Sarano M., Ross J.
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N Engl J Med 1997; 336:1322-1324, May 1, 1997. Correspondence

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