Figure
2. Management strategy for patients
with chronic severe aortic regurgitation. Preoperative
coronary angiography should be performed routinely
as determined by age, symptoms, and coronary risk
factors. Cardiac catheterization and angiography may
also be helpful when there is discordance between
clinical findings and echocardiography. In some centers,
serial follow-up may be performed with RVG or MRI
rather than echocardiography to assess LV volume and
systolic function. Abbreviations: DD = end-diastolic
dimension, RVG = radionuclide ventriculography, SD
= end-systolic dimension.
©
1998 American College of Cardiology and American Heart
Association, Inc.
Published by Elsevier
Science Inc.