The aorta is the main artery carrying oxygen-rich blood from the heart to the body. After each heart beat, the valve closes tightly to prevent blood from flowing backwards into the heart. Aortic insufficiency occurs when the aortic valve does not close tightly enough.
There are 2 types of aortic insufficiency: Acute aortic insufficiency—symptoms develop rapidly, and in severe cases, immediate surgery may be needed
Chronic aortic insufficiency—symptoms develop over the course of many months or years
Aortic Valve Insufficiency
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Factors that may increase your chances of developing aortic insufficiency include: Family history of aortic insufficiencyHigh blood pressureUse of drugs such as weight loss and appetite suppressant medications
Symptoms of aortic insufficiency include: Shortness of breath with activityExercise intoleranceLightheadednessChest painHeart palpitationsIrregular heartbeatFaintingDifficulty breathing when lying flat
Treatment options depend on the severity and history of the valve leakage. It also depends on its effects on the heart’s size and function. Talk with your doctor about the best treatment plan for you.
In chronic and slowly progressive aortic insufficiency, treatment may involve taking medication. Surgery is needed in severe cases.
Depending on your condition, your doctor may schedule routine physical exams and echocardiograms.
Medications cannot fix the valve, but they can be used to treat aortic insufficiency. Medication used may include: Diuretics—to treat high blood pressure and rid the body of excess fluidsCalcium channel blockers—to reduce leaking and, in some cases, delay the need for surgeryHigh blood pressure medicationsAntibiotics used before dental and surgical procedures to prevent infection
If the condition is rapidly declining, surgery is needed.
There are several open heart surgeries that can fix leaking valves. The type chosen will depend on the valve and the knowledge of the surgeon.
In most cases, this condition cannot be prevented. Ask your doctor if you should take an antibiotic before dental and other procedures.
Aortic valve stenosis (AS) and aortic insufficiency (AI). American Heart Association website. Available at:
http://www.heart.org/idc/groups/heart-public/@wcm/@hcm/documents/downloadable/ucm_307649.pdf. Published 2009. Accessed August 20, 2014.
Congenital heart defects. Kids Health—Nemours Foundation website. Available at:
http://www.kidshealth.org/parent/medical/heart/congenital_heart_defects.html. Updated January 2012. Accessed August 20, 2014.
Scognamiglio R, Rahimtoola SH, Fasoli G, Nistri S, Dalla Volta S. Nifedipine in asymptomatic patients with severe aortic regurgitation and normal left ventricular function.
N Engl J Med.
What are congenital heart defects? National Heart, Lung, and Blood Institute website. Available at:
Updated July 1, 2011. Accessed August 20, 2014.
Last reviewed September 2016 by Michael J. Fucci, DO
Please be aware that this information is provided to supplement the care provided by your physician. It is neither intended nor implied to be a substitute for professional medical advice. CALL YOUR HEALTHCARE PROVIDER IMMEDIATELY IF YOU THINK YOU MAY HAVE A MEDICAL EMERGENCY. Always seek the advice of your physician or other qualified health provider prior to starting any new treatment or with any questions you may have regarding a medical condition.
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