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Management of Chronic Aortic Regurgitation.
MedLine Citation:
PMID:  14575628     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Aortic regurgitation may be the most treacherous of the valvular lesions due to subtlety of symptoms and physical findings and due to difficulty in timing surgical intervention to prevent permanent cardiac dysfunction. Cardiac imaging (eg, echocardiography or magnetic resonance) is critical to quantify the degree of regurgitation and to detect significant left ventricular dysfunction or dilation. Stress testing can be useful in timing surgical intervention in borderline cases. Medical therapy consists of afterload reduction, diuresis, and inotrope administration. Surgical therapy today consists of aortic valve repair in a minority of cases or aortic valve replacement in the remainder. Percutaneous means to replace the aortic valve are in development. Cardiac decompensation may require cardiac transplantation.
Authors:
Donald D. Glower
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Publication Detail:
Type:  JOURNAL ARTICLE    
Journal Detail:
Title:  Current treatment options in cardiovascular medicine     Volume:  5     ISSN:  1534-3189     ISO Abbreviation:  Curr Treat Options Cardiovasc Med     Publication Date:  2003 Dec 
Date Detail:
Created Date:  2003-Oct-24     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9815942     Medline TA:  Curr Treat Options Cardiovasc Med     Country:  -    
Other Details:
Languages:  ENG     Pagination:  511-520     Citation Subset:  -    
Affiliation:
Department of Surgery, Box 3851, Duke University Medical Center, 2000 Erwin Road, Durham, NC 27710, USA. glowe001@mc.duke.edu
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