aortic insufficiency(redirected from Aortic valve regurgitation)
inability to perform properly an allotted function; called also incompetence.
adrenal insufficiency abnormally diminished activity of the adrenal gland; called also hypoadrenalism.
adrenocortical insufficiency abnormally diminished secretion of corticosteroids by the adrenal cortex; see also addison's disease. Called also hypoadrenocorticism and hypocorticism.
coronary insufficiency decreased supply of blood to the myocardium resulting from constriction or obstruction of the coronary arteries, but not accompanied by necrosis of the myocardial cells. Called also myocardial ischemia.
ileocecal insufficiency inability of the ileocecal valve to prevent backflow of contents from the cecum into the ileum.
placental insufficiency dysfunction of the placenta, with reduction in the area of exchange of nutrients; it often leads to fetal growth retardation.
pulmonary valve insufficiency inadequate closure of the pulmonary valve, permitting pulmonic regurgitation.
respiratory insufficiency see respiratory insufficiency.
thyroid insufficiency hypothyroidism.
tricuspid insufficiency incomplete closure of the tricuspid valve, resulting in tricuspid regurgitation.
valvular insufficiency failure of a cardiac valve to close perfectly, causing valvular regurgitation; see also aortic, mitral, pulmonary, and tricuspid insufficiency.
velopharyngeal insufficiency inadequate velopharyngeal closure, due to a condition such as cleft palate or muscular dysfunction, resulting in defective speech.
functional incompetence of the aortic valve, with resulting regurgitation of blood from the aorta during left ventricular diastole; may be congenital, inflammatory (for example, in rheumatic fever or SLE), or degenerative. See: aortic regurgitation.
aortic insufficiencyThe reflow of blood back from the aorta into the left ventricle due to incompetency of the aortic valve.
Dyspnoea on exertion, orthopnea, fatigue, ± angina, increased pulse pressure, systolic hypertension with increased afterload on left ventricle.
Congenital or acquired valve defect of either the aortic leaflets (infectious endocarditis, rheumatic fever) or the aortic root (annuloaortic ectasia, Marfan syndrome, aortic dissection, collagen vascular disease, syphilis).
Increased pulse pressure (Corrigan’s pulse, Hill sign, Musset sign, Quincke’s pulse), systolic murmur, diastolic rumble (Austin Flint murmur over cardiac apex).
Doppler echocardiography to estimate severity of AR, confirmed by aortography.
Early valve replacement surgery, guided by the ‘55 rule’—i.e., performed when the ejection fraction is < 55% and/or the end-systolic dimension = 55 mm.