Aortic Regurgitation

Exam Cram

• Aortic Regurgitation is commonly known as a 'leaky' aortic valve, where the valve leaks blood back into the left ventricle during contraction

• Presentation: asymptomatic; sob, palpitations, leg swelling

• Examination: early diastolic murmur, loudest at left sternal edge during expiration, leaning forward; collapsing pulse

• Management: surgical repair if symptomatic

Management 

Monitoring

• Annual ECHO

Medical 

1. Low dose ACE inhibitor 

2. Low dose betablocker

3. Increase ACE inhibitor dose

4. Increase betablocker dose

Surgical

Indications

• Symptomatic 

Types

• Open cardiothoracic surgery

• Endovascular repair

Resources and References

Written in 2025