AORTIC REGURGITATION
Aortic valve regurgitation is also a type of heart valve disease. The valve between the lower left heart chamber and the body’s main artery doesn’t close tightly. As a result, some of the blood pumped out of the heart’s main pumping chamber, called the left ventricle, leaks backward.
The leakage may prevent the heart from doing a good enough job of pumping blood to the rest of the body. You may feel tired and short of breath.
Aortic valve regurgitation can develop suddenly or over many years. Once the condition becomes severe, surgery often is needed to repair or replace the valve.
The aortic valve is one of four valves that control blood flow through the heart. It separates the heart’s main pumping chamber, called the left ventricle, and the body’s main artery, called the aorta.
In aortic valve regurgitation, the valve doesn’t close properly. This causes blood to leak back into the lower left heart chamber, called the left ventricle. As a result, the chamber holds more blood. This could cause it to get larger and thicken.
At first, the larger left ventricle helps maintain good blood flow with more force. But eventually, the heart becomes weak.
Surgery may be needed to repair or replace the diseased valve, especially if the condition and symptoms are severe. Heart valve surgery may be needed even if aortic regurgitation isn’t severe or when there are no symptoms.
TREATMENT
Aortic valve repair. To repair an aortic valve, surgeons may separate valve flaps, also called cusps, that have connected. They might reshape or remove excess valve tissue so that the cusps can close tightly. Or they might patch holes in a valve. A catheter procedure may be done to place a plug or device in a leaking replacement aortic valve.
Aortic valve replacement. The surgeon removes the damaged valve and replaces it. The replacement might be a mechanical valve or a biological tissue valve.
Interventional Cardiologist do minimally invasive heart surgery to replace the aortic valve. This procedure is called transcatheter aortic valve replacement (TAVR). It uses smaller incisions than those used in open-heart surgery.