Treatment of Symptomatic Chronic Severe Aortic Regurgitation
Clinical Scenario
This protocol applies to patients presenting with symptomatic chronic severe aortic regurgitation. The onset of symptoms in this setting is a recognised inflection point that carries direct implications for management.
Treatment Approach
Aortic valve surgery is the recommended intervention in this setting, regardless of left ventricular function — unless the anticipated surgical risk is prohibitive.
The complete protocol specifies the surgical strategy, patient selection criteria, and the conditions under which each approach applies.
References
DOI: 10.1093/eurheartj/ehaf194
- AV surgery is recommended in symptomatic patients with severe AR regardless of LV function.
- When the patient is symptomatic and AR severe, surgery is recommended unless the anticipated surgical risk is prohibitive.
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