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