CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 47 year old
female with known mitral valve prolapse with mitral
regurgitation who had been followed by an outside
cardiologist.  Patient's mitral regurgitation was recently
noted to be severe enough to warrant surgical intervention.

MEDICAL HISTORY: None.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY: 
Mitral valve disorders
Mitral valve disorder
Admission Date:  [**2108-12-4**]     Discharge Date:  [**2108-12-7**]

Date of Birth:   [**2060-5-14**]     Sex:  F

Service:

HISTORY OF PRESENT ILLNESS:  The patient is a 47 year old
female with known mitral valve prolapse with mitral
regurgitation who had been followed by an outside
cardiologist.  Patient's mitral regurgitation was recently
noted to be severe enough to warrant surgical intervention.

PAST MEDICAL HISTORY:  None.

PAST SURGICAL HISTORY:  None.

MEDICATIONS:  None.

Echocardiogram results ([**2108-10-15**]): the study demonstrated a
dilated left ventricle with a chamber size of 63 mm with
normal wall thickness and systolic and diastolic function
with classic bileaflet mitral valve prolapse and thickened
myxomatous leaflet with severe mitral regurgitation with
mildly dilated left atrium (42 mm).  In comparison with the
patient's prior study, patient's left ventricle and left
atrium were noted to have increased in size.

HOSPITAL COURSE:  The patient was admitted to the medical
center on [**2108-12-4**] and underwent minimally invasive right
thoracotomy with mitral valve repair using a 30 mm [**Doctor Last Name 405**]
band.  Patient had an uneventful postoperative course.  She
was transferred to the cardiothoracic surgery floor on
postoperative day one.  By post-op day three patient's pain
was well controlled on oral pain medication.  She was
ambulating well on the floor and had met level 5 physical
therapy targets.  She was deemed stable for discharge to
home.

CONDITION ON DISCHARGE:  Stable.

DISCHARGE MEDICATIONS:
1.  Percocet p.r.n.
2.  Colace 100 mg p.o. b.i.d.
3.  Enteric coated aspirin 325 mg p.o. q.day.

FO[**Last Name (STitle) **]:  The patient is to follow up with Dr. [**Last Name (Prefixes) **]
four weeks following discharge.  Patient was also to follow
up with her primary care physician two to four weeks
following discharge.

DISCHARGE DIAGNOSIS:  Mitral valve prolapse with severe
mitral regurgitation requiring surgical repair.






                          [**Doctor Last Name 412**] [**Last Name (Prefixes) 413**], M.D.  [**MD Number(1) 414**]

Dictated By:[**Name8 (MD) 997**]

MEDQUIST36

D:  [**2108-12-9**]  14:44
T:  [**2108-12-10**]  13:09
JOB#:  [**Job Number 92888**]
{'Mitral valve disorders'}


You are an AI assistant analyzing clinical admission notes from the MIMIC III dataset. Your task is to map symptoms mentioned in the notes to a list of provided ICD-9 LONG_TEXT.



### Clinical text :
CHIEF COMPLAINT: 

PRESENT ILLNESS: The patient is a 47 year old
female with known mitral valve prolapse with mitral
regurgitation who had been followed by an outside
cardiologist.  Patient's mitral regurgitation was recently
noted to be severe enough to warrant surgical intervention.

MEDICAL HISTORY: None.

MEDICATION ON ADMISSION: 

ALLERGIES: 

PHYSICAL EXAM: 

FAMILY HISTORY: 

SOCIAL HISTORY:  

### Response:
{'Mitral valve disorders'}
