Timing of Operation for Chronic Severe Aortic Regurgitation

  • E. Geraci
Part of the Ettore Majorana International Science Series book series (volume 21)


The indication for aortic valve replacement in chronic severe aortic regurgitation poses different problems. In symptomatic patients the operation offers better results than medical treatment alone[1], so that in general there are no doubts about surgical indication once a patient develops more than trivial symptoms. Rather, in these cases the problem is of a prognostic nature: which patients will probably have an excellent postoperative recovery and which others might have a worse outcome? Today this is not a very difficult question, since we possess quite accurate predictive criteria based on both invasive and noninvasive evaluation of left ventricular function[1–6]. In asymptomatic (or midly symptomatic) patients, on the contrary the problem is of decisional nature: if and when aortic valve replacement is indicated. This is a more difficult task and will be the main theme of this paper.


Valve Replacement Left Ventricular Dysfunction Aortic Valve Replacement Aortic Regurgitation Aortic Valve Disease 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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Copyright information

© Plenum Press, New York 1985

Authors and Affiliations

  • E. Geraci
    • 1
  1. 1.Division of Cardiology“V. Cervello” HospitalPalermoItaly

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