Is it farther or further?
mitral insufficiency n.
Valvular insufficiency involving the mitral valve.
inability of the mitral valve to prevent the flow of blood back from the left ventricle, or lower chamber of the heart, into the left atrium, or upper chamber. Normally, the valve permits blood to flow from the atrium to the ventricle but prevents its return. Most often, the inability of the mitral valve to close adequately is caused by scarring from rheumatic heart disease; it may also be due to a congenital defect of the valve or may arise from defects in the muscles and tendons (the papillary muscles and chordae tendineae) that operate the valve. Less frequently it may be due to endocarditis (inflammation of the heart lining) or cardiac tumour. The condition is recognized from characteristic heart sounds and from patterns that show up in echocardiography or electrocardiography.