Blonder - Aortic Regurgitation

Question 1

Is aortic regurgitation a pressure or volume problem?

Answer 1

Volume problem

Question 2

What two places can aortic regurgitation come from?

Answer 2

Aortic valve leaflets

Root of the aorta (by expansion i.e. in dissection)

Question 3

What kinds of things can affect the valve to cause aortic regurgitation?

Answer 3

Rheumatic fever

Senile aortic valvular disease

Infective endocarditis

Trauma

Myxomatous degeneration

Degeneration of a bioprosthetic aortic valve replacement

Question 4

What kinds of things can cause aortic root dilation?

Answer 4

Marfans syndrome (can also involve leaflets)

Dissecting or non-dissecting aortic aneurysm

Ankylosing spondylitis

Behçet’s

Syphilis

Osteogenesis imperfecta

Psoriatic arthritis

Question 5

What will the pulse findings of a pt with aortic regurg be?

Answer 5

Bounding pulse

Large pulse pressure

Question 6

What kind of murmur will you hear with aortic regurgitation?

Answer 6

Early diastolic decrescendo murmur at LSB, 4th or 5th ICS

If pt has an aortic aneurysm, could hear at RSB