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Updated: June 22, 2025
On account of its hypertrophy, the left auricle is able to send an increased amount of blood into the left ventricle, which in turn becomes hypertrophied and sends enough blood into the aorta to satisfy the requirements of the systemic circulation in spite of the leakage through the mitral valve. As long as this compensation continues, there are no symptoms.
"But," said Mitral, "Metivier and Chaboisseau heard it all, and they may play us a trick and tell the matter to some opposition journal which would catch the ball on its way and counteract the effect of the ministerial article. You must go alone, my dear; I dare not let those two cormorants out of my sight." So saying he re-entered the cafe.
It is of interest to note that these little vegetations are more likely to be on the left side of the heart than the right; on the valves than any other part, and on the mitral valve than on the aortic. The consequence is a more frequent permanent disability of the valves of the left side of the heart, and of these more frequently the mitral.
Again he felt the horror of the great empty space opened up between him and Nicky, deep and still and soundless, but for the two words: "Not yet." It was as Nicholas had said. Anthony and John were rejected; Anthony on account of his age, John because of the mitral murmur that he didn't know about. The guv'nor had lied, John said, like a good 'un; swore he was under thirty-five and stuck to it.
The part of the heart most affected is the part which has the most work to do the left side of the heart and of this side the left ventricle and therefore the mitral and aortic valves; the most frequent valve to be inflamed and to stiffer permanent disability is the a mitral valve, the valve which in its inflamed condition is subjected to the greatest amount of pressure and therefore irritation.
"Dear Monsieur Gaudron," said Madame Baudoyer, "please help my father to compose a little speech that he could slip into the countess's ear when he takes her the monthly stipend, a single sentence that would cover all! I must leave you. I am obliged to go out with my uncle Mitral. Would you believe it? I was unable to find my uncle Bidault at home this afternoon. Oh, what a dog-kennel he lives in!
"Have you been listening to my lectures on diseases of the heart?" "Yes, sir;" was my response. "Did you hear my lecture on mitral murmurs yesterday?" he asked. "I did," I had to admit. "And did you read up on the subject?" was further interrogated. "Y-yes," and my tones implied a little guilt, although I could not tell why.
He began the interview by unbuttoning his waistcoat and asking me to listen at his fifth intercostal space, two inches from the left sternal line. I did so, and was shocked to hear a well-marked mitral regurgitant murmur. "It is of old standing," said he, "but of late I have had a puffiness about the ankles and some renal symptoms which show me that it is beginning to tell."
"Same as ever," replied Gigonnet, rubbing his hands, "victory with gold." "True," said Gobseck. Mitral took a cabriolet and went straight to the Saillards and Baudoyers, who were still playing boston at a late hour. No one was present but the Abbe Gaudron. Falleix, half-dead with the fatigue of his journey, had gone to bed.
They won't take Don because he's got a mitral murmur in his heart that he doesn't know about. He's going to be jolly well sold, poor chap. And they won't take the guv'nor because he's too old; though the dear old thing thinks he can bluff them into it because he doesn't look it. "And look here don't worry about me. As far as I'm concerned, the War's a blessing in disguise.
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