Publication Date
2011
Journal
The Texas Heart Journal
PMID
21423463
Publication Date(s)
2011
Language
English
PMCID
PMC3060740
PubMedCentral® Posted Date
2011
PubMedCentral® Full Text Version
Post-Print
Published Open-Access
yes
Keywords
Acute disease, aortic valve insufficiency/classification/complications/diagnosis/etiology/physiopathology/surgery/therapy, cardiology/standards, echocardiography, endocarditis, bacterial/physiopathology/therapy, heart valve diseases/diagnosis/etiology/physiopathology/surgery/therapy, heart valve prosthesis implantation/standards, mitral valve insufficiency/classification/complications/diagnosis/etiology/physiopathology/surgery/therapy, physical examination, prosthesis failure
Copyright
This work is licensed under a Creative Commons Attribution-NonCommercial-No Derivative Works 4.0 International License.
Abstract
The management of acute, severe cardiac valvular regurgitation requires expeditious multidisciplinary care. Although acute, severe valvular regurgitation can be a true surgical emergency, accurate diagnosis and subsequent treatment decisions require clinical acumen, appropriate imaging, and sound judgment. An accurate and timely diagnosis is essential for successful outcomes and requires appropriate expertise and a sufficiently high degree of suspicion in a variety of settings. Whereas cardiovascular collapse is the most obvious and common presentation of acute cardiac valvular regurgitation, findings may be subtle, and the clinical presentation can often be nonspecific. Consequently, other acute conditions such as sepsis, pneumonia, or nonvalvular heart failure may be mistaken for acute valvular regurgitation. In comparison with that of the right-sided valves, regurgitation of the left-sided valves is more common and has greater clinical impact. Therefore, this review focuses on acute regurgitation of the aortic and mitral valves.