Severe Aortic Regurgitation (AI)

  • Atooshe Rohani
Part of the Clinical Cases in Cardiology book series (CCC)


Rheumatoid arthritis is an important risk factor for valvular heart disease; this patient presented with aortic regurgitation in the context of rheumatoid arthritis and was found to have a thickened aortic valve which leads to malcoaptation of leaflets and severe AI.


Rheumatoid arthritis Aortic regurgitation Diastolic murmur 

Supplementary material

Movie 5.1

TEE long axis mid esophageal shows severe AI (AVI 651 kb)


  1. 1.
    Aziz S, Sohail M, Murphy G. Acute aortic regurgitation due to necrotizing granulomatous inflammation of the aortic valve in a patient with rheumatoid arthritis. Circulation. 2012;126(8):e106–7.CrossRefGoogle Scholar
  2. 2.
    Roldan CA, DeLong C, Qualls CR, et al. Characterization of valvular heart disease in rheumatoid arthritis by transesophageal echocardiography and clinical correlates. Am J Cardiol. 2007;100(3):496–502.CrossRefGoogle Scholar

Copyright information

© Springer Nature Switzerland AG 2019

Authors and Affiliations

  • Atooshe Rohani
    • 1
  1. 1.Northern Ontario School of MedicineThunder BayCanada

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