Aortic regurgitation causes: Difference between revisions
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* [[Bacterial Endocarditis]] | * [[Bacterial Endocarditis]] | ||
* [[Bechterew's Disease]] | * [[Bechterew's Disease]] | ||
* [[Bicuspid aortic valve]] | * [[Bicuspid aortic valve]]: This is the most common congenital abnormality of the ehart. It is the most common cause of isolated aortic insufficiency requiring surgical repair. Bicuspid aortic valve is also associated with inflammation of the aorta (an aortopathy) which may lead to dilation of the aorta and or aortic dissection that can worsen the aortic insufficiency. | ||
* [[Cystic medial necrosis]] of the aorta | * [[Cystic medial necrosis]] of the aorta | ||
* [[Ehlers-Danlos Syndrome]] | * [[Ehlers-Danlos Syndrome]] | ||
Revision as of 03:32, 15 April 2012
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Aortic Regurgitation Microchapters |
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Diagnosis |
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Treatment |
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Acute Aortic regurgitation |
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Chronic Aortic regurgitation |
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Special Scenarios |
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Case Studies |
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Aortic regurgitation causes On the Web |
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American Roentgen Ray Society Images of Aortic regurgitation causes |
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Risk calculators and risk factors for Aortic regurgitation causes |
Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]; Associate Editor-In-Chief: Cafer Zorkun, M.D., Ph.D. [2]; Varun Kumar, M.B.B.S.; Lakshmi Gopalakrishnan, M.B.B.S.
Overview
Aortic insufficiency can be an acute illness or a chronic illness and the causes differ depending upon the acuity of the disease. In general, aortic insufficiency is due to abnormalities of the aortic valve itself or the aortic root. Aortic regurgitation secondary to dilation of the ascending aorta has overtaken valvular aortic disease as the most common cause of aortic regurgitation.
Common Causes
- Worldwide the most common cause of aortic insufficiency is rheumatic heart disease.
- In the United States, senile degenerative calcific aortic valve disease and bicuspid aortic valve disease are the most common causes.
- Aortic regurgitation secondary to dilation of the ascending aorta has overtaken valvular aortic disease as the most common cause of aortic regurgitation.
Differential Diagnosis of the Causes of Acute Aortic Insufficiency
In alphabetical order:
- After aortic valvuloplasty[1]
- Aortic dissection: The type A dissection may disrupt the integrity of the valve leaflets causing malcoaptation of the aortic leaflets.
- Bacterial Endocarditis: The infection can erode the valve, can cause a leaflet to become flail, or a vegetation can prevent coaptation of the leaflets.
- Blunt chest trauma: Trauma can disrupt the supporting apparatus of the aortic valve.
- Myxomatous aortic valve: The valvular structure can degenerate
- Prosthetic valve dysfunction
- Rheumatic Fever
Differential Diagnosis of the Causes of Chronic Aortic Insufficiency
In alphabetical order:
- Ankylosing Spondylitis
- Aortic Dissection
- Arteriosclerosis
- Bacterial Endocarditis
- Bechterew's Disease
- Bicuspid aortic valve: This is the most common congenital abnormality of the ehart. It is the most common cause of isolated aortic insufficiency requiring surgical repair. Bicuspid aortic valve is also associated with inflammation of the aorta (an aortopathy) which may lead to dilation of the aorta and or aortic dissection that can worsen the aortic insufficiency.
- Cystic medial necrosis of the aorta
- Ehlers-Danlos Syndrome
- Hypertension
- Marfan Syndrome
- Myxomatous aortic valve
- Polymyalgia Rheumatica
- Pseudoxanthoma Elasticum
- Reiter's Syndrome
- Rheumatic Fever
- Rheumatoid Arthritis
- Sinus of Valsalva Aneurysm
- Syphilis
- Systemic Lupus Erythematosus
- Turner's Syndrome
- Ventricular Septal Defect
- Weight loss medications
Differential Diagnosis Based Upon Aortic Valvular Causes
- Bicuspid aortic valve
- Collagen vascular disease
- Senile or degenerative calcific aortic valve disease
- Endocarditis
- Myxomatous aortic valve
- Rheumatic fever
- Rheumatoid arthritis
- Sinus of Valsalva Aneurysm
- Systemic Lupus Erythematosus
- Trauma
- Turner's Syndrome
- Ventricular Septal Defect
- Weight loss medications
Differential Diagnosis Based Upon Abnormalities of the Ascending Aorta
- Ankylosing spondylitis
- Aortic dissection
- Arteriosclerosis
- Bechterew's Disease
- Behcet's syndrome
- Cystic medial necrosis of the aorta
- Ehlers-Danlos Syndrome
- Giant cell arteritis
- Hypertension
- Idiopathic dilation of the ascending aorta
- Marfan syndrome
- Osteogenesis imperfecta
- Polymyalgia Rheumatica
- Pseudoxanthoma Elasticum
- Psoriatic arthritis
- Reiter's syndrome
- Relapsing polychondritis
- Senile aortic ectasia and dilation
- Spondyloarthropathy
- Syphilitic aortitis
- Takayasu arteritis
- Trauma
- Ulcerative colitis
- Whipple's disease
References
- ↑ Isner JM (1991). "Acute catastrophic complications of balloon aortic valvuloplasty. The Mansfield Scientific Aortic Valvuloplasty Registry Investigators". Journal of the American College of Cardiology. 17 (6): 1436–44. PMID 2016464. Unknown parameter
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