Aortic insufficiency cardiac catheterization

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]

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The pigtail catheter is placed a few centimeters above the aortic root. Grading the amount of regurgitation is based on the amount of opacification of the ventricle 2 complete cardiac cycles after injection compared to that of the aortic root.

Grade 1

Brief and incomplete ventricular opacification. Clears rapidly.

Grade 2

Moderate opacification of the ventricle that clears in less that 2 cycles. Never greater than aortic root opacification.

<googlevideo>2835396102193538399&hl=en</googlevideo> 2+ AI Marfan Syndrome

Grade 3

Opacification of the ventricle equal to aortic root opacification within 2 cycles. Delayed clearing of ventricle over several cycles.

<googlevideo>-7844772248158567311&hl=en</googlevideo> 3+ AI

Grade 4

Opacification of the ventricle almost immediately that is greater than that of the aortic root with delayed clearing of the ventricle.

<googlevideo>1323435585463870537&hl=en</googlevideo> 4+ AI