Aortic insufficiency surgery overview

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 * Associate Editor-In-Chief:, Varun Kumar, M.B.B.S., Lakshmi Gopalakrishnan, M.B.B.S., Mohammed A. Sbeih, M.D.[mailto:msbeih@perfuse.org]

Related Key Words and Synonyms: Aortic valve replacement.

Overview
Surgical treatment is controversial in asymptomatic patients. Surgery may be recommended if the ejection fraction falls below 50% or in the face of progressive and severe left ventricular dilatation. For both groups of patients, surgery before the development of worse aortic insufficiency ejection fraction/LV systolic dilatation, is expected to reduce the risk of sudden death, and is associated with lower peri-operative mortality.

The majority of patients with severe aortic regurgitation requiring surgery undergo aortic valve replacement against aortic valve repair which are preformed at few surgical centers which have appropriate technical expertise and experience in selecting potential patients.