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Aortic insufficiency treatment depends on the degree of the disease. Appropriate treatment varies for each patient. Patients with mild aortic insufficiency are given some medications so that patient monitoring can begin. If the left ventricle begins to enlarge and deteriorate due to aortic insufficiency experienced by the patient, surgical methods are used to replace the valve. The newly placed valve is a prosthetic valve. However, a metal prosthetic valve is preferred because it is a durable valve. Therefore, patients must use the blood thinner warfarin for life. In some patients, a biological valve is used instead of a plastic valve.
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What is the Treatment of Aortic Insufficiency?
Aortic insufficiency, It is a condition that causes the heart to enlarge. Syncope and chest pain attacks occur later in aortic insufficiency. Risks of sudden death also occur in cases where the heart is very enlarged. The aortic valve is located between the aorta and the left ventricle. The aortic valve consists of 3 leaflets. These leaflets are called cuspis. Aortic insufficiency is the result of blood returning to the left ventricle due to the valves not closing completely for various reasons, thus increasing the load on the left ventricle as a result of the blood not being transmitted.
How is Aortic Insufficiency Diagnosed?
The degree of aortic insufficiency is important and the heart aorta of failure grows according to its degree. The diagnosis of organ failure is made by echocardiography. Therefore, the degree of valve insufficiency is determined. Coronary angiography, catheterization, echocardiography should be performed in patients with chest pain and in patients over 40 years of age. However, aortic insufficiency can also occur suddenly.
If aortic insufficiency occurs suddenly, emergency surgery is required. In aortic regurgitation, if the aortic valve is of good quality but the aortic valve is inadequate due to widening of the aortic annulus, such patients are treated with aortic valve preservation. The first intervention in the treatment of aortic insufficiency is repair of the aortic valve. If the aortic valve cannot be repaired heart valve gets stuck.
Causes of Aortic Insufficiency
aortic insufficiency The main causes of the disease are:
- Leaflets are abnormally shaped
- Leaflets are damaged. In other words, tearing or deformation of the leaflets
- Tearing with small blows
- rheumatic heart disease
- It is an inflammation of the inner lining of the heart.
However, one of the most common causes of aortic regurgitation is acute rheumatoid arthritis. Also, one of the common reasons is that the congenital aortic valve has 2 leaflets. If there is joint and rheumatic aortic insufficiency, the aortic valve thickens. This can cause the heart to enlarge. Heart failure then occurs. In both cases, the heart's pumping is prevented because the heart valves are deformed. Therefore, diagnosis and surgery should be performed as soon as possible.
What are the symptoms of Aortic Insufficiency?
The patient's complaints and symptoms of aortic insufficiency are important for the stage of the disease. In grade 1 aortic insufficiency, the patient's main complaint is less pronounced. The increasing degree of aortic insufficiency means too much blood is flowing back. As a result, the left ventricle becomes tired and enlarged. Therefore, the contraction force decreases. Usually the complaint is a throbbing sensation of the heartbeat. These complaints may increase especially when lying down or turning to the left. Thus, as aortic insufficiency progresses and reaches its limits, fatigue and weakness rapidly appear. Additionally, heart failure may occur. The most important symptoms are:
- Palpitation feeling.
- Tiredness
- Irregularity in heart rhythm.
- Shortness of breath
- Heart murmur