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.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Preview
Unable to display preview. Download preview PDF.
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.
Author information
Authors and Affiliations
Rights and permissions
Copyright information
© 1993 Springer-Verlag New York, Inc.
About this chapter
Cite this chapter
Chesler, E. (1993). Rheumatic Valvular Disease. In: Clinical Cardiology. Springer, New York, NY. https://doi.org/10.1007/978-1-4613-9183-8_12
Download citation
DOI: https://doi.org/10.1007/978-1-4613-9183-8_12
Publisher Name: Springer, New York, NY
Print ISBN: 978-1-4613-9185-2
Online ISBN: 978-1-4613-9183-8
eBook Packages: Springer Book Archive