How long can you live with mild aortic regurgitation?

How long can you live with mild aortic regurgitation?

In developing countries, it progresses much more rapidly and may lead to symptoms in children less than 5 years of age. Around 80% of patients with mild symptoms live for at least 10 years after diagnosis. In 60% of these patients, the disease may not progress at all.

How fast does aortic regurgitation progress?

Prob- ably depending on etiology, progression to stage C/D aortic regurgitation only occurs at a rate between 2% and 5% per year. It seems to be faster in patients with aortic root dilatation or bicuspid aortic valves than in those with degenerative or rheumatic disease.

Is mild aortic regurgitation serious?

Aortic regurgitation is a leaky aortic valve. When mild or moderate it is not typically of concern. Severe insufficiency can lead to heart enlargement and symptoms of heart failure so it needs to be watched closely. Severe aortic regurgitation with symptoms typically requires aortic valve replacement.

What causes chronic aortic regurgitation?

The most common cause of chronic aortic regurgitation used to be rheumatic heart disease, but presently it is most commonly caused by bacterial endocarditis. In developed countries, it is caused by dilation of the ascending aorta (eg, aortic root disease, aortoannular ectasia).

When does aortic regurgitation require surgery?

Mechanical valve replacement You may eventually need surgery to repair or replace the diseased aortic valve, particularly if you have severe aortic regurgitation and symptoms. However, some people need surgery even if it’s not severe, or when they aren’t having symptoms.

What is severe AR?

Acute severe aortic regurgitation (AR) comes about when there is rapid disruption of the anatomic integrity of the aortic valve. As a consequence, the sudden imposition of a large regurgitant volume leads to a precipitous increase in left ventricular diastolic pressure and a decrease in forward stroke volume.