Aortic Valve Insufficiency 

Author: Alison F. Ward, MD
Institution: Emory University
Date Reviewed: 2023
Original Case: Fawwaz Shaw, MD / University of Washington
Learning Domain: Adult Cardiac Surgery
Learning Objective: Acute vs. Chronic Aortic Valve Insufficiency
PowerPoint File: Aortic Valve Insufficiency

 

Discussion Points

  • Pre-operative work-up
  • Anesthesia considerations in acute AI
  • Timing / urgency of Intervention
  • Pathophysiology of Acute AI
  • Patient / prosthetic mismatch
  • Operative management 
    • LV Vent / Myocardial protection / Root abscess
  • Optimal Valve Choices
    • Homograph / Mechanical vs Tissue valve

 

Learning Points

  • Acute AI differs from Chronic AI 
  • Treatment of acute AI is urgent surgery
  • Operation can be  dependent on etiology (e.g. endocarditis vs. dissection vs. trauma)
  • Patients can be (acutely) very ill