Sandbox Rim: Difference between revisions
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{{Familytree/start}} | {{Familytree/start}} | ||
{{Family tree | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | A01= }} | {{Family tree | | | | | | | | | | | | | | | A01 | | | | | | | | | | | | A01= What is the severity of the aortic regurgitation?}} | ||
{{Family tree | | | | | | | |,|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|-|-|-|-|.| }} | {{Family tree | | | | | | | |,|-|-|-|-|-|-|-|^|-|-|-|-|-|-|-|-|-|-|-|.| }} | ||
{{Family tree | | | | | | | B01 | | | | | | | | | | | | | | | | | | B02 | B01= | B02= }} | {{Family tree | | | | | | | B01 | | | | | | | | | | | | | | | | | | B02 | B01= <div style="float: left; text-align: center; width:12em"> '''Severe regurgitation''' </div> <div style="float: left; text-align: left; width: 15em; line-height: 150%"> <br> ❑ Vena contracta >0.6 cm <br> ❑ Jet/LVOT ≥ 65% <br> ❑ Regurgitant volume ≥60 mL/beat <br> ❑ Regurgitant fraction ≥50% <br> ❑ Effective regurgitant orifice ≥ 0.30 cm² <br> ❑ Holodiastolic flow reversal in the proximal abdominal aorta </div>| B02= <div style="float: left; text-align: center; width:18em">'''Progressive regurgitation''' ([[Aortic regurgitation stages|Stage B]]) </div> <div style="float: left; text-align: left; line-height: 150%"> '''Mild''' <br> ❑ Vena contracta <0.3 cm <br> ❑ Jet/LVOT <25% <br> ❑ Regurgitant volume <30 mL/beat <br> ❑ Regurgitant fraction <30% <br> ❑ Effective regurgitant orifice <0.10 cm² </div>}} | ||
{{Family tree | | | | | | | |!| | | | | | | | | | | | | | | | | | | |!| | }} | |||
{{Family tree | | | | | | | B03 | | | | | | | | | | | | | | | | | | |!| | B03= Is the patient symptomatic?}} | |||
{{Family tree | |,|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | | | | | | | |!| | }} | {{Family tree | |,|-|-|-|-|-|^|-|-|-|-|-|.| | | | | | | | | | | | | |!| | }} | ||
{{Family tree | C01 | | | | | | | | | | C02 | | | | | | | | | | | | C03 | | |C01= | C02= | C03= }} | {{Family tree | C01 | | | | | | | | | | C02 | | | | | | | | | | | | C03 | | |C01= Yes <br> (Stage D)| C02=No <br> (Stage C)| C03= Is the patient undergoing another surgery?}} | ||
{{Family tree | |!| | | |,|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|.| | | |,|-|^|-|.| | }} | {{Family tree | |!| | | |,|-|-|-|-|-|-|-|+|-|-|-|-|-|-|-|.| | | |,|-|^|-|.| | }} | ||
{{Family tree | |!| | | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | D07 | D01= |D02= | D03= | D04= | D05= | D06= | D07= }} | {{Family tree | |!| | | D01 | | D02 | | D03 | | D04 | | D05 | | D06 | | D07 | D01= LVEF<50% <br> (Stage C2)|D02=The patient is undergoing another surgery| D03= LVEF ≥50% <br> LVESD >50mm (Stage C2)| D04= LVEF ≥50% <br> LVEDD >65mm <br> Low surgical risk| D05= LVEF ≥50% <br> LVESD ≤50mm <br> LVEDD ≤65mm| D06= | D07= }} | ||
{{Family tree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | }} | {{Family tree | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | | |!| | }} | ||
{{Family tree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | | E07 | | E08 | E01= | E02= | E03= | E04= | E05= | E06= | E07= | E08= }} | {{Family tree | E01 | | E02 | | E03 | | E04 | | E05 | | E06 | | E07 | | E08 | E01= | E02= | E03= | E04= | E05= | E06= | E07= | E08= }} | ||
{{Family tree/end}} | {{Family tree/end}} | ||
Revision as of 02:44, 21 July 2014
Indications for Aortic Valve Replacement
Shown below is an algorithm depicting the indications for aortic valve replacement (AVR) in chronic aortic regurgitation.
| What is the severity of the aortic regurgitation? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
Severe regurgitation ❑ Vena contracta >0.6 cm ❑ Jet/LVOT ≥ 65% ❑ Regurgitant volume ≥60 mL/beat ❑ Regurgitant fraction ≥50% ❑ Effective regurgitant orifice ≥ 0.30 cm² ❑ Holodiastolic flow reversal in the proximal abdominal aorta | Progressive regurgitation (Stage B) Mild ❑ Vena contracta <0.3 cm ❑ Jet/LVOT <25% ❑ Regurgitant volume <30 mL/beat ❑ Regurgitant fraction <30% ❑ Effective regurgitant orifice <0.10 cm² | ||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Is the patient symptomatic? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| Yes (Stage D) | No (Stage C) | Is the patient undergoing another surgery? | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| LVEF<50% (Stage C2) | The patient is undergoing another surgery | LVEF ≥50% LVESD >50mm (Stage C2) | LVEF ≥50% LVEDD >65mm Low surgical risk | LVEF ≥50% LVESD ≤50mm LVEDD ≤65mm | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||