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Correspondence
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Volume 336:1322-1324 May 1, 1997 Number 18
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Mitral Regurgitation Due to Flail Leaflet

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 by Ross, J.
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 by Ling, L. H.
To the Editor: Ling et al. (Nov. 7 issue)1 conclude that patients with serious mitral regurgitation due to flail leaflet do better with early surgical management. Their patients in New York Heart Association class I or II had an annual mortality rate of 4.1 percent with medical therapy.

Although in general agreement with the recommendations of Ling et al., Ross in his editorial2 expresses reservations about immediate surgery in asymptomatic or mildly symptomatic patients with normal left ventricular function (ejection fraction, >60 percent). He suggests annual clinical and echocardiographic examination to detect deteriorating left ventricular function.

We have extensive experience . . . [Full Text of this Article]

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