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To answer, we must start with the normal blood flow. Blood moves from the Right Ventricle of the Heart to the Lungs, then back to the Left Atrium of the heart and into the Left Ventricle of the heart. The Left Ventricle of the heart pumps the blood to the rest of the body where it will return to the right side of the heart before going into the lungs.

The Mitral valve lies between the Left Atrium and Left Ventricle, and keeps blood from flowing backwards from the Left ventricle to to the left Atrium, and backwards into the lungs.

A faulty Mitral valve would cause the heart's inability to get good pumping action to supply blood to the rest of the body. It may also allow pressure surges back into the lungs. Or, perhaps cause the right side of the heart which normally just supplies low pressure blood to the lungs to have to work harder and help force the blood through the lungs, and back through the left heart to the body, causing tremendous pressure increases in the lungs.

High blood pressure in the lungs can cause a number of problems including secretion of fluids an Congestive Heart Failure.

Keep in mind, minor heart murmurs are common, and may not indicate a catastrophic failure.

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