Insuficiência Aórtica : Momento de operar.

Persistent Diastolic Dysfunction Late After Valve Replacement in Severe Aortic Regurgitation
Circulation. 2009
Published online before print November 23, 2009
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Diastolic stiffness constant was increased before surgery (22±6 versus 9±3 in control subjects; P=0.0003) and remained elevated early and late after AVR (23±4; P=0.002).
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Conclusions—Patients with aortic regurgitation show normalization of macroscopic LV hypertrophy late after AVR, although fiber hypertrophy persists. These changes in LV myocardial structure late after AVR are accompanied by a change in passive elastic properties with persistent diastolic dysfunction.
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A disfunção diastólica continua presente após a correção da insuficiência.
Quando operar ainda é a pergunta a ser respondida pelo ecocardiograma.
Veja a postagem com a diretriz de válvulas.
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