Types

Heart Valve Problems: Mitral Insufficiency

Choose a preferred language

Mitral insufficiency means your mitral valve has problems closing. This lets blood leak back through the valve.

The heart has 4 valves. These valves help blood flow through the heart and out to the body by promoting forward flow and preventing back flow. The mitral valve lies between the 2 chambers of the heart on the left side. These 2 chambers are the left atrium and left ventricle. When the valve is open, it allows blood to flow from your lungs and left atrium to your left ventricle. When the left ventricle contracts to pump blood into your body, the mitral valve closes to prevent blood from leaking backward.

With mitral insufficiency, a small amount of leaking blood rarely leads to problems. But if the leaking is severe, it can cause damage to and enlargement of the heart. That's because the leaking of blood means the blood has to be pumped twice.

Top view of closed mitral valve with insufficiency.Cross section of heart showing mitral valve insufficiency.


Possible causes of mitral insufficiency

Causes may include:

  • Heart damage from rheumatic fever or other infections or diseases

  • Aging

  • Mitral valve prolapse

  • Damage after a heart attack


Treating mitral insufficiency

Medicines may be prescribed. These help the heart work better. In severe cases, heart valve surgery may be needed to repair or replace the valve.

Online Medical Reviewer: Robyn Zercher FNP

Online Medical Reviewer: Ronald Karlin MD

Online Medical Reviewer: Stacey Wojcik MBA BSN RN

Date Last Reviewed: 08/14/2004

© 2000-2026 The StayWell Company, LLC. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
heart icon

Heart & Vascular

View our heart and vascular services.

Learn More
schedule icon

Schedule an Appointment

Find the right provider and schedule anytime.

View Providers
Related Articles
Read article
Heart Health
Pericarditis

Pericarditis is inflammation of the pericardium, the thin sac that surrounds the heart. Read on to learn details, such as causes, symptoms, diagnosis, treatment, and complications.

Read article
Heart Health
Understanding Infective Endocarditis

Infective endocarditis is an infection of the lining of the heart (endocardium) or the valves of the heart. The infection is most often from some type of bacteria.

Read article
Heart Health
Hypertrophic Cardiomyopathy

Hypertrophic cardiomyopathy (HCM) is a disease that causes thickening (hypertrophy) of the heart muscle. The heart cells enlarge more than they should, and scarring is often found between the cells.

Read article
Heart Health
Nonsurgical Treatment Choices for Heart Attack

Not everyone who has had a heart attack needs open-heart surgery, such as a bypass operation. Read on to learn about other treatment choices.