Condition Basics
What is aortic valve regurgitation?
Aortic valve regurgitation is a problem with the aortic valve.
When you have aortic valve regurgitation, this valve doesn't close as it should. With each heartbeat, some of the blood leaks back (regurgitates) through the aortic valve into the left ventricle. The body doesn't get enough blood, so the heart has to work harder to make up for it.
You can have this problem for a long time and not know it. It may take years for symptoms to start. This is called chronic aortic valve regurgitation.
In rare cases, the valve problem starts suddenly and without warning. This is called acute aortic valve regurgitation. It requires medical help right away.
What causes it?
Any condition that damages the aortic valve can cause aortic regurgitation. Causes of long-term aortic valve regurgitation include heart problems you're born with, calcium buildup on the valve, and an enlarged aorta. Causes of sudden aortic valve regurgitation include endocarditis and trauma to the heart or aorta.
What are the symptoms?
Symptoms include shortness of breath and chest pain or pressure (angina), especially when you're active. You may have trouble breathing at night. You may feel tired and weak. Some people feel very aware of their heartbeat, especially when lying down, or feel their heart beating unevenly (palpitations).
How is it diagnosed?
Your doctor will do a physical exam. Your doctor will ask you questions about your symptoms and past health. You may have an electrocardiogram. Tests like an echocardiogram help confirm the diagnosis. Tests can show how much the valve is leaking and how well the left ventricle of your heart is working.
How is aortic valve regurgitation treated?
Your doctor will see you regularly. Your doctor will recommend a heart-healthy lifestyle. You may take medicine to lower blood pressure, relieve symptoms, or help your heart work better. You may choose to have surgery to replace the valve.
