Table 1

Causes of mitral regurgitation

ConditionExamplePathology
Primary valveMitral valve prolapseMyxomatous degeneration
Redundant leaflet tissue
Ruptured chordae
Rheumatic heart diseaseLeaflet thickening and restriction
Commissural fusion
EndocarditisLeaflet destruction
Papillary muscle ruptureMyocardial infarction
CongenitalCleft mitral valve
Double orifice mitral valve
MiscellaneousDrugs (e.g. fenfluramine)
Functional mitralMitral annular dilatationDilated cardiomyopathy
Left ventricular wall motion abnormalityMyocardial ischaemia/infarction