Question 7#
A 33-year-old man is seen in the cardiology outpatient clinic. He is being followed up for aortic regurgitation.
Which one of the following is true?
A. If he has Marfan syndrome and his aortic root measures 46 mm, he should be referred for aortic valve and root replacementB. If he has a bicuspid aortic valve and his aortic root measures 5 mm, he should be referred for aortic valve and root replacement
C. If he has neither Marfan syndrome nor a bicuspid valve but his aortic root measures 57 mm, he should be referred for aortic valve and root replacement
D. If he has neither Marfan syndrome nor a bicuspid aortic valve but his aortic root measures 47 mm and he has moderate AR with an end-diastolic dimension of 64 mm, he should be referred for an aortic valve and root replacement
E. Answers A, B, and C correct
Correct Answer is E
Comment:
The ESC valvular heart disease guidelines 2012 recommend the cut-offs shown in Table below for aortic root and aortic valve replacement for patients with any severity of aortic regurgitation (AR).
ESC Guidelines 2012