Evaluation of aortic insufficiency by Doppler color flow mapping

The color Doppler echocardiographic studies and aortic angiograms of all patients who had these procedures performed within 2 weeks of each other between October 1984 and August 1985 were reviewed to determine whether any parameters of the regurgitant jet visualized by color Doppler study predicted the severity of aortic insufficiency as assessed by angiographic grading. Patients with an aortic valve prosthesis were excluded. Twenty-nine patients had aortic insufficiency and had adequate color Doppler studies for analysis. The mean time between color Doppler examination and angiography was 2.3 days (range 0 to 12). The maximal length and area of the regurgitant jet were poorly predictive of the angiographic grade of aortic insufficiency. The short-axis area of the regurgitant jet from the parasternal short-axis view at the level of the high left ventricular outflow tract relative to the short-axis area of the left ventricular outflow tract at the same location best predicted angiographic grade, correctly classifying 23 of 24 patients. However, the jet could be seen from this view in only 24 of the 29 patients. The height of the regurgitant jet relative to left ventricular outflow tract height measured from the parasternal long-axis view just beneath the aortic valve correctly classified 23 of the 29 patients. Mitral stenosis or valve prosthesis, which was present in 10 patients, did not interfere with the diagnosis or quantitation of aortic insufficiency by these methods.(ABSTRACT TRUNCATED AT 250 WORDS)

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				V. H. Chu, C. H. Cabell, D. K. Benjamin Jr, E. F. Kuniholm, V. G. Fowler Jr, J. Engemann, D. J. Sexton, G. R. Corey, and A. Wang Early Predictors of In-Hospital Death in Infective Endocarditis Circulation, April 13, 2004; 109(14): 1745 - 1749. [Abstract] [Full Text] [PDF]

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				J. Wetter, N. Sinzobahamvya, H. C. Blaschczok, M.-Y. Cho, A. M. Brecher, L. M. Gravinghoff, and A. E. Urban Results of arterial switch operation for primary total correction of the Taussig-Bing anomaly Ann. Thorac. Surg., January 1, 2004; 77(1): 41 - 46. [Abstract] [Full Text] [PDF]

				W. A. Zoghbi, M. Enriquez-Sarano, E. Foster, P. A. Grayburn, C. D. Kraft, R. A. Levine, P. Nihoyannopoulos, C. M. Otto, M. A. Quinones, H. Rakowski, et al. American Society of Echocardiography: recommendations for evaluation of the severity of native valvular regurgitation with two-dimensional and Doppler echocardiography : A report from the American Society of Echocardiography's Nomenclature and Standards Committee and The Task Force on Valvular Regurgitation, developed in conjunction with the American College of Cardiology Echocardiography Committee, The Cardiac Imaging Committee, Council on Clinical Cardiology, The American Heart Association, and the European Society of Cardiology Working Group on Echocardiography, represented by: Eur Heart J Cardiovasc Imaging, December 1, 2003; 4(4): 237 - 261. [Full Text] [PDF]

				G. Tarantini, P. Buja, R. Scognamiglio, R. Razzolini, G. Gerosa, G. Isabella, A. Ramondo, and S. Iliceto Aortic valve replacement in severe aortic stenosis with left ventricular dysfunction: determinants of cardiac mortality and ventricular function recovery Eur J Cardiothorac Surg, December 1, 2003; 24(6): 879 - 885. [Abstract] [Full Text] [PDF]

				S Morelli, M L Bernardo, F Viganego, A Sgreccia, P De Marzio, F Conti, R Priori, and G Valesini Left-sided heart valve abnormalities and risk of ischemic cerebrovascular accidents in patients with systemic lupus erythematosus Lupus, November 1, 2003; 12(11): 805 - 812. [Abstract] [PDF]

				G. B. Luciani, G. Casali, A. Favaro, M. A. Prioli, L. Barozzi, F. Santini, and A. Mazzucco Fate of the Aortic Root Late After Ross Operation Circulation, September 9, 2003; 108(2011): II-61 - II-67. [Abstract] [Full Text] [PDF]

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				H. Yasuda, S. Nakatani, M. Stugaard, Y. Tsujita-Kuroda, K. Bando, J. Kobayashi, M. Yamagishi, M. Kitakaze, S. Kitamura, and K. Miyatake Failure to Prevent Progressive Dilation of Ascending Aorta by Aortic Valve Replacement in Patients With Bicuspid Aortic Valve: Comparison With Tricuspid Aortic Valve Circulation, September 9, 2003; 108(2011): II-291 - II-294. [Abstract] [Full Text] [PDF]

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				M. Marasini, L. Zannini, G. P. Ussia, R. Pinto, R. Moretti, F. Lerzo, and G. Pongiglione Discrete subaortic stenosis: incidence, morphology and surgical impact of associated subaortic anomalies Ann. Thorac. Surg., June 1, 2003; 75(6): 1763 - 1768. [Abstract] [Full Text] [PDF]

				P. Unger, J. Nortier, M.-C. Muniz Martinez, D. Plein, J.-L. Vandenbossche, P. Vereerstraeten, and J.-L. Vanherweghem High prevalence of fenfluramine-related aortic regurgitation in women with end-stage renal disease secondary to Chinese herb nephropathy Nephrol. Dial. Transplant., May 1, 2003; 18(5): 906 - 910. [Abstract] [Full Text] [PDF]

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