In the assessment of the aortic valve, it is important to assess the rest of the heart as it can impact on the risk during surgery:
1. Pai RG, Varadarajan P, Kapoor N, Bansal RC Aortic valve replacement improves survival in severe aortic stenosis associated with severe pulmonary hypertension.Ann Thorac Surg 2007;84:85-6.
2. Bonow RO, Carabello BA, Chatterjee K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease. J Am Coll Cardiol 2006;48:e1-148.1746-1750
- Aortic regurgitation
- Mitral regurgitation - If the LV dilates, there can be functional MR, which may warrant mitral valve surgery if there is mitral valve prolapse or if the MR is moderate-severe or severe.
- Pulmonary hypertension - can result in right heart failure and increase the risk of surgery
- Asymptomatic aortic stenosis with dilated aortic root
1. Pai RG, Varadarajan P, Kapoor N, Bansal RC Aortic valve replacement improves survival in severe aortic stenosis associated with severe pulmonary hypertension.Ann Thorac Surg 2007;84:85-6.
2. Bonow RO, Carabello BA, Chatterjee K, et al. ACC/AHA 2006 guidelines for the management of patients with valvular heart disease. J Am Coll Cardiol 2006;48:e1-148.1746-1750
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