A person with chronic aortic regurgitation may benefit from surgical intervention if certain risk factors are present.
Indications for surgical correction of aortic regurgitation:
(1) symptomatic regurgitation (NYHA class III or IV = marked restriction in activity or totally incapacitated)
(2) left ventricular systolic dysfunction (ejection fraction < 50%)
(3) severe regurgitation with left ventricular dilatation
(3a) left ventricular end-systolic diameter on echocardiography > 55 mm, OR
(3b) left ventricular end-diastolic diameter > 70 mm
For borderline patients, an abnormal exercise capacity would favor surgical intervention.
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Purpose: To determine if a patient with chronic aortic regurgitation should be considered for surgical intervention.
Specialty: Cardiology
Objective: severity, prognosis, stage, failure handling, when to refer, surgery
ICD-10: I06, I35, Q23.1,
