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| {{SI}}
| | #Redirect [[Aortic regurgitation surgery indications#Indications for Surgery for Acute Aortic Regurgitation]] |
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| {{CMG}}
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| '''Associate Editor-In-Chief:''' {{CZ}}; [[Varun Kumar]], M.B.B.S.; [[Lakshmi Gopalakrishnan]], M.B.B.S.
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| {{Editor Join}}
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| In the case of severe acute [[aortic insufficiency]], all individuals should undergo emergency surgery if there are no absolute contraindications for surgery. Individuals with [[bacteremia]] with aortic valve [[endocarditis]] should not wait for treatment with antibiotics to take effect, especially if there is [[hypotension]], [[pulmonary edema]], or low [[cardiac output]] given the high mortality associated with the acute aortic insufficiency. Instead, replacement with an [[artificial heart valve|aortic valve]] [[homograft]] should be performed if feasible. Surgical approach depends on the cause for aortic insufficiency with valve repair/replacement in cases of valvular structural abnormalities to aortic root repair/replacement in cases of aortic dissection.
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| Patients may be temporarily managed before surgery with [[vasodilators]] such as [[nitroprusside]] and possibly [[inotropic agents]] such as [[dopamine]] or [[dobutamine]] to improve [[stoke volume]] and reduce left ventricular end-diastolic pressure<ref name="pmid18820172">{{cite journal |author=Bonow RO, Carabello BA, Chatterjee K, de Leon AC, Faxon DP, Freed MD, Gaasch WH, Lytle BW, Nishimura RA, O'Gara PT, O'Rourke RA, Otto CM, Shah PM, Shanewise JS |title=2008 Focused update incorporated into the ACC/AHA 2006 guidelines for the management of patients with valvular heart disease: a report of the American College of Cardiology/American Heart Association Task Force on Practice Guidelines (Writing Committee to Revise the 1998 Guidelines for the Management of Patients With Valvular Heart Disease): endorsed by the Society of Cardiovascular Anesthesiologists, Society for Cardiovascular Angiography and Interventions, and Society of Thoracic Surgeons |journal=[[Circulation]] |volume=118 |issue=15 |pages=e523–661 |year=2008 |month=October |pmid=18820172 |doi=10.1161/CIRCULATIONAHA.108.190748 |url=http://circ.ahajournals.org/cgi/pmidlookup?view=long&pmid=18820172 |accessdate=2011-04-07}}</ref>. [[Intra-aortic balloon pump]] is '''contraindicated''' as this would worsen aortic regurgitation by increasing after load.
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| In mild aortic insufficiency secondary to [[aortic dissection]], valve can be repaired/replaced at the time of surgery for aortic dissection.
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| ==References==
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| {{reflist|2}}
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| [[Category:Cardiology]]
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| {{WS}}
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