title: Timing of aortic valve intervention in pediatric chronic aortic insufficiency.
abstract: The timing of aortic valve intervention (AVI) in pediatric patients with chronic aortic insufficiency (AI) is largely based on adult experience, which is fraught with uncertainty and controversy. Current adult guidelines in the absence of symptoms use left ventricular (LV) systolic function and LV dimensions to guide AVI timing, with few studies translating these recommendations to pediatric patients. This article reviews the current guidelines for AVI timing in chronic AI along with the emerging data for pediatric patients.
authors.affiliation: Division of Pediatric Cardiology, New York University School of Medicine, New York, NY, USA, Justin.Tretter@nyumc.org.
authors.forename: Justin T
authors.initials: JT
authors.lastname: Tretter
authors.forename: Alan
authors.initials: A
authors.lastname: Langsner
mesh_terms: D001021:Aortic Valve / Q000601:surgery*; D001022:Aortic Valve Insufficiency / Q000150:complications / Q000601:surgery*; D002648:Child; D005260:Female; D019918:Heart Valve Prosthesis Implantation / Q000009:adverse effects / Q000379:methods*; D006801:Humans; D008297:Male; D017410:Practice Guidelines as Topic; D012307:Risk Factors; D013997:Time Factors; D016896:Treatment Outcome; D016277:Ventricular Function, Left