“…A review of the English literature on this subject has uncovered only 10 reports of coexisting VSR and MR (Corbally et al, 1982;Daggett et al, 1982b;Felner et al, 1970;Fleming, 1973;Gowda et al, 1976;Rawlins et ul., 1972;Skoulas and Beier, 1967;Zaidi, 1977). Five of these patients underwent mitral valve replacement or plication in addition to closure of the VSR.…”