The risk-benefit ratio always is considered when evaluating patients with

mitral valve disease as surgical candidates for valve correction. Who among the following patients is not considered a good operative candidate?

A. A patient with severe mitral regurgitation and endocarditis with systemic embolization

B. A patient with severe mitral regurgitation and left ventricular dysfunction

C. A patient with severe mitral regurgitation and normal ventricular function

D. A patient with severe mitral regurgitation and pulmonary hypertension