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. 2020 Oct 13;115(4):720–775. [Article in Portuguese] doi: 10.36660/abc.20201047

Table 35. Aortic regurgitation: Individualized follow-up1,2.

Aortic regurgitation Follow-up SBC AHA ESC
Severe and asymptomatic, without prognostic factors

  • Clinical and echocardiographic evaluation

 Every 0.5 to 1 year Every 0.5 to 1 year Every 3 to 6 months

  • Concomitant intervention in patients who will undergo another cardiac surgical procedure (coronary revascularization, ascending aorta, or other valve procedures)

 I C I C I C
Moderate
(Vena contracta 0.3 – 0.6 cm, jet width 0.25 – 0.64 cm, regurgitant fraction 30% – 49%, regurgitant volume 30 – 59 mL/beat, EROA 0.10 – 0.29 cm²)		 Clinical and echocardiographic evaluation Every 1 to 2 years Every 1 to 2 years Every 1 to 2 years
Concomitant intervention in patients who will undergo another cardiac surgical procedure (coronary revascularization, ascending aorta, or other valve procedures) IIa C IIa C –
Mild
(Vena contracta < 0.3 cm, jet width < 0.25 cm, regurgitant fraction < 30%, regurgitant volume < 30 ml/beat, EROA < 0.10 cm²)		 Clinical and echocardiographic evaluation Every 3 to 5 years Every 3 to 5 years Every 1 to 2 years

AHA: American Heart Association; EROA: effective regurgitant orifice area; ESC: European Society of Cardiology; SBC: Sociedade Brasileira de Cardiologia (Brazilian Society of Cardiology).