CHARLES P. BAILEY; WILLIAM LIKOFF, F.A.C.P.
Regardless of the etiology, aortic insufficiency produces the dynamic effects of an aorticoventricular fistula which are expressed only during diastole. The abnormal communication between these two adjacent and high pressure segments of the circulatory system results in a reflux of blood into the ventricular chamber which may amount to as much as one-half or more of the systolic output. The magnitude of the incompetence determines the amount of regurgitation and the subsequent physiologic alterations in the circulation. The increased volume of blood in the left ventricular cavity during diastole produces an initial dilatation of that chamber which is followed
BAILEY CP, LIKOFF W. THE SURGICAL TREATMENT OF AORTIC INSUFFICIENCY1. Ann Intern Med. ;42:388–416. doi: 10.7326/0003-4819-42-2-388
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Published: Ann Intern Med. 1955;42(2):388-416.
Cardiology, Valvular Heart Disease.
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