Mitral Insufficiency Due to Ruptured Chordae Tendineae Simulating Aortic Stenosis

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Abstract
THE case reported below illustrates two interesting and unusual phenomena. The first is the production of the physical signs and phonocardiographic evidence of aortic stenosis in a patient with mitral insufficiency but without disease of the aortic valve. A similar case has recently been reported but without phonocardiographic confirmation.1 The second is the production of mitral insufficiency by rupture of un-diseased chordae tendineae attached to a normal valve leaflet, in the absence of a history of direct chest trauma.Case ReportA 39-year-old man entered the San Francisco Veterans Administration Hospital on July 31, 1958, because of increasing signs and . . .