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Updated: June 22, 2025
Uncle Mitral rubbed his nose and grinned as he glanced at his niece Elisabeth, the woman whose hand had pulled the wires, who was talking with Gigonnet. Falleix, honest fellow, did not know what to make of the stupid blindness of Saillard and Baudoyer. "What a crew!" whispered Bixiou to du Bruel.
Of course, like any valvular lesion, it may be associated with other lesions, and sooner or later in many instances, when the left ventricle becomes dilated or weakened, mitral insufficiency also occurs.
Thus the blood brought to the lungs by the pulmonary arteries leaves the lungs entirely different in character and appearance. This part of the circulation is often called the lesser or pulmonic circulation. The four pulmonary veins bring back bright, scarlet blood, and pour it into the left auricle of the heart, whence it passes through the mitral valve into the left ventricle.
"You will be appointed, nephew," said Mitral; "and there's a surprise in store for you." "What is it?" asked Saillard. "The cross of the Legion of honor?" cried Mitral. "God protects those who guard his altars," said Gaudron. Thus the Te Deum was sung with equal joy and confidence in both camps.
"I told you we were doing a good thing in buying up all des Lupeaulx's paper from his creditors at sixty per cent discount." "Take this mortgage on his estate and you'll hold him tighter still through the interest," answered Mitral. "Possibly," said Gobseck. After exchanging a shrewd look with Gobseck, Gigonnet went to the door of the cafe.
Such regurgitation may occur without valvular disease if for any reason the left ventricle becomes dilated sufficiently to cause the valve to be insufficient. Such a dilatation can generally be cured by rest and treatment. As with mitral stenosis, the most frequent causes are rheumatism and chorea, with the occasional other causes as previously enumerated.
"Des Lupeaulx would cut off a leg to get elected in his place," continued Mitral; "but he must have the title-deeds of the property in his own name, and then mortgage them back to us for the amount of the purchase-money. Ah! now you begin to see what I am after!
If the cause of a toxemia developed in the system, perhaps most frequently from intestinal putrefaction, increased elimination and a regulation of the diet will cure the condition. The valvular lesions most apt to cause irregular action of the heart are mitral insufficiency or mitral stenosis.
Nature causes these hearts, when they are disturbed or excited, to pulsate slowly, causing the diastole to be longer than in a heart with mitral regurgitation. This allows more blood to enter the left ventricle, and the left ventricle, acting perfectly on the blood which it receives, causes a good systolic pressure in the aorta and the systemic arteries.
But Monsieur Mitral, who knows his ways, says he does all his business between eight o'clock in the morning and midday, and that after that hour he can be found only at a certain cafe called the Cafe Themis, a singular name." "Is justice done there?" said the abbe, laughing. "Do you ask why he goes to a cafe at the corner of the rue Dauphine and the quai des Augustins?
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