Aortic Regurgitation
ASE 2017 Native Valve Regurgitation Guidelines

Congenital/leaflet abnormalities

  • Bicuspid, unicuspid, or quadricuspid aortic valve
  • Ventricular septal defect

Acquired leaflet abnormalities

  • Senile calcification
  • Infective endocarditis
  • Rheumatic disease
  • Radiation-induced valvulopathy
  • Toxin-induced valvulopathy: anorectic drugs, 5-hydroxytryptamine (carcinoid)

Congenital/genetic aortic root abnormalities

  • Annuloaortic ectasia
  • Connective tissue disease: Loeys Deitz, Ehlers-Danlos, Marfan syndrome, osteogenesis imperfecta

Acquired aortic root abnormalities

  • Idiopathic aortic root dilatation
  • Systemic hypertension
  • Autoimmune disease: systemic lupus erythematosis, ankylosing spondylitis, Reiter’s syndrome
  • Aortitis: syphilitic, Takayasu’s arteritis
  • Aortic dissection
  • Trauma

ASE 2017 Native Valve Regurgitation

Colour Doppler

  • Jet width/ LVOT diameter
  • Jet area/LVOT area
  • Vena Contracta
  • 3D Vena Contracta
  • Pulsed wave Doppler: Flow reversal in proximal descending aorta
  • Density of regurgitant jet
  • Jet deceleration rate (pressure half-time)

Quantitative Doppler

  • EROA, regurgitation volume and fraction
  • SV method
ASE 2017 Native Valve Regurgitation

Coming Soon

Print Friendly, PDF & Email