Most common is ventricular septal defect (30-60%), followed distantly by bicuspid aortic valve, pulmonary stenosis, aortic insufficiency
, atrial septal defect, coarctation of the aorta and subvalvular aneurysms.
This examination also revealed wide-open aortic insufficiency
with a high wedge pressure of 40 mmHg, suggesting pulmonary hypertension.
Follow-up results of balloon aortic valvuloplasty in children with special reference to causes of late aortic insufficiency
. Am Heart J 1997; 133: 418-27.
Signs of aortic insufficiency
include a decrescendo diastolic murmur, widened pulse pressure, and the new onset of pulmonary edema.
Patients with simple forms of ACHD were slightly more likely than those with complex diagnoses to be admitted for surgery, mainly to address bicuspid aortic valves and aortic insufficiency
, he continued.
And valve problems, such as aortic stenosis, aortic insufficiency
, and mitral regurgitation can also contribute to LVH, as can chronic kidney disease.
Late complications of surgery include re-dissection, formation and expansion of an aneurysm, aortic insufficiency
, and organ ischemia.
During that admission a diastolic murmur was note& and an echocardiogram showed severe aortic insufficiency
with a thickened aortic valve.
An echocardiogram at that time revealed normal left ventricular size and function, no aortic insufficiency
, mean transaortic gradient 12 mmHg, and calculated aortic valve area 1.0 [cm.sup.2] (Video 4, Figure 3).
Besides, there were 28 cases of ventricular septal defect, 16 cases of atrial septal defect, 8 cases of aortic insufficiency
, four cases of mitral stenosis and insufficiency and four cases of infectious endocarditis.
Evaluation of aortic insufficiency
by doppler color flow mapping.
Goldwyn and Watt (9) found in their model that the aortic capacitance (first capacitance near to heart) value was almost half its normal value in the case of "aortic insufficiency