Aortic regurgitation
ICD-10 I35.1 · ICD-11 BB71

Treatment of Aortic Regurgitation in Acute Severe Presentation

Clinical Scenario

This protocol addresses acute severe aortic regurgitation — a presentation that typically requires immediate attention. Underlying causes can include infective endocarditis, spontaneous or traumatic aortic dissection, or iatrogenic aortic dissection.

Treatment Approach

Management of acute severe aortic regurgitation is determined by the clinical context and individual patient factors. For certain patients — including those with a previously failed surgical valve — a transcatheter-based approach represents one avenue of management.

The complete decision pathway, patient selection criteria, and sequencing are detailed in the full structured protocol.

Instant Access to Structured Evidence-Based Regimens

References

DOI: 10.1093/eurheartj/ehaf194

Acute severe AR usually requires immediate surgery depending on the aetiology, such as infective endocarditis or spontaneous, traumatic, or iatrogenic aortic dissection.

Surgery represents the preferred treatment in patients with acute AR, while TAVI has only been described in individual cases or patients with a failed surgical valve (valve-in-valve).

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