The World Heart Federation (WHF) reported criteria for the echocardiographic diagnosis of rheumatic heart disease in pediatric patients. One task is to study changes in the aortic valve.


Patient selection: age <= 20 years of age


Pathologic aortic regurgitation – all of the following:

(1) aortic valve regurgitation seen in 2 views

(2) regurgitant jet length >= 1 cm in any view

(3) regurgitant jet velocity >= 3 m/s for one complete envelope

(4) pandiastolic regurgitant jet seen in at least one envelope


Morphologic features of aortic valve – total number present:

(1) focal thickening or irregularity

(2) coaptation defect

(3) restriction in leaflet motion

(4) prolapse


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