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Aortic Valve Insufficiency - Symptoms, Causes and Treatment

author Dr. Anurag Sharma | calender Feburary 27, 2020

A condition that develops by damage to the aortic valve is known as Aortic valve insufficiency (AVI). It can also be called Aortic Regurgitation, and mostly it occurs in men than women.

Before exiting the heart, the aortic valve is the final valve from where blood passes. It is rich in fresh oxygen and nutrients and delivers it to the rest of your body.

If the aortic valve doesn’t close properly, some blood flows backwards instead of flowing out to the aorta and the body. By such before a load of blood arrives from the left atrium, the left ventricle does not wholly throw out blood.

Consequently, the heart muscle has to work extra for pumping out blood, and it requires expansion of the left ventricle for the accommodation of left-over blood. Then, there is a rise in blood pressure in the heart due to strain on the heart muscle

Instead, by making an extra effort, the heart is yet insufficient for pumping required blood to keep the body well-oxygenated. As a result, a person feels quickly out of breath and tired. This condition becomes severe for your heart over time.

According to Wikipedia, as per the cause of aortic valve insufficiency which occurs by aortic root dilation is spontaneous or unprecedented in about 80% cases.

Symptoms of Aortic Valve Insufficiency

Probably, you do not notice any symptoms for Aortic valve insufficiency for years. On progression by damage, you may observe signs below:

  • Feeling pain in chest and tightness while exercising
  • Difficulty in breathing on lying down
  • Swelling in feet and ankles
  • Fatigue
  • Fainting
  • Shortness of breath
  • Weakness in body
  • Heart palpitations

Causes of Aortic Valve Insufficiency

In the condition of aortic valve insufficiency, the valve between the main artery and the lower left heart chamber (left ventricle) closes improperly, causing some of the blood to leak backwards into the lower left chamber of the heart. It enlarges and thickens the left ventricle as holding more blood.

Disorders that damage a valve can cause aortic valve insufficiency. For which conditions below can be a reason.

Rheumatic fever

It is a complication for strep throat, and in times it was quite common among children in the United States. Nowadays, it is rare in the United States but still prevalent in developing countries. It can be a threat to damage your aortic valve.

Congenital heart valve disease

Sometimes, congenital heart defects can be a reason for developing aortic valve insufficiency. If you are born with a bicuspid valve that has only two cusps or you, have one cusp(unicuspid) or four cusps (quadricuspid). Then you are prone to have aortic valve insufficiency or aortic valve regurgitation, as you do not have three cusps to be healthy.

Trauma for aortic valve insufficiency

A damaging aorta that is nearby aortic valve due to tear in the aorta or chest injury such can cause the flow of blood backward through the pipe. Consequently, it leads to aortic valve insufficiency.


It is an infection within your heart that involves your heart valves. Endocarditis can damage your aortic valve to cause aortic valve regurgitation.

Age-related heart conditions

Over time your aortic valve can have built-up calcium deposits that stiffen the cusps of the aortic valve. It narrows the aortic valve and does not let it close properly to lead to aortic valve insufficiency.

Other diseases

Other rare conditions, such as Marfan syndrome, a connective tissue disease can enlarge the aorta and aortic valve and lead to aortic valve insufficiency. Moreover, some autoimmune conditions, like lupus, also can give you aortic valve regurgitation.

Treatment of Aortic Valve Insufficiency?

Depending on your symptoms and the severity of your condition, you get treatment of Aortic valve regurgitation by surgical procedure or medication.

Your heart specialist may also suggest lifestyle changes for your healthy heart and medications to get you additional supplements for the prevention of complications, in some cases.

However, to repair or replace the valve if your condition and symptoms are worsening, undergoing proper treatment is a suitable option.

During surgery, patients have repair or replacement of diseased or leaky aortic valve through the “keyhole” method. It is a minimally invasive procedure that requires a small incision in the chest, though it reduces pain complications, recovery time, and scarring to a great extent.


Dr. Anurag Sharma is among the best-rated cardiologist in chandigarh who excels in providing affordable, appropriate, and best quality care for all kinds of heart ailments, including aortic valve insufficiency.

Patients admitted under Dr. Anurag Sharma are offered full-fledged facilities, right from acute emergency care to the management of severe comorbid conditions.

The proficient team of heart doctors, nurses, and technicians working under his command are available 24X7 to provide all the services to patients of an aortic heart valve.

Dr. Anurag Sharma and other available cardiologist doctors guide patients about aortic valve insufficiency for possible symptoms, causes, and treatment.

If you are troubled by the condition of aortic valve insufficiency, contact Dr. Anurag Sharma for appropriate treatment at the best heart care hospital.