Aortic Valve Regurgitation Treatment in Turkey
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What is an Aortic Valve Regurgitation?
Aortic Valve Regurgitation occurs when the aortic valve fails to close properly after the left ventricle pumps blood into the aorta. This backward blood flow increases the volume of blood in the left ventricle, which may cause the heart to enlarge and work harder over time. Aortic regurgitation may result from a bicuspid aortic valve, aortic root enlargement, infective endocarditis, rheumatic heart disease, congenital abnormalities, or other conditions affecting the valve or aorta.
What is the Importance of Timely Treatment?
Timely evaluation helps determine the severity and cause of aortic regurgitation, assess left ventricular size and function, monitor disease progression, and identify when medical or surgical treatment may be appropriate. Treating significant regurgitation at the appropriate stage can help prevent progressive heart enlargement, heart failure, and other cardiovascular complications.
What are the Common Symptoms of Aortic Valve Regurgitation?
- Shortness of Breath: Breathlessness may occur during physical activity and can become more noticeable as the condition progresses.
- Fatigue: Increased cardiac workload and reduced effective forward blood flow may cause tiredness and reduced stamina.
- Chest Discomfort: Some people may experience chest pain or discomfort, especially with more advanced disease.
- Palpitations: A fast, pounding, or irregular heartbeat may occur, especially when associated rhythm abnormalities develop.
- Reduced Exercise Tolerance: Physical activities that were previously comfortable may become more difficult because of breathlessness or fatigue.
- Dizziness or Fainting: Significant disease may sometimes cause lightheadedness or fainting, particularly when cardiac output is affected.
Causes and Risk Factors of Aortic Valve Regurgitation
Causes
- Bicuspid Aortic Valve: A congenital valve with two leaflets instead of three may become dysfunctional and cause regurgitation.
- Aortic Root Enlargement: Enlargement of the aortic root can prevent the valve leaflets from meeting properly.
- Infective Endocarditis: Infection can damage the aortic valve and cause leakage.
- Rheumatic Heart Disease: Rheumatic fever can cause permanent structural changes to the valve.
- Congenital Valve Abnormalities: Structural abnormalities present from birth may affect valve closure.
- Aortic Dissection: A tear in the aortic wall can interfere with aortic valve function and may cause acute regurgitation.
- Degenerative Valve Changes: Progressive changes in valve tissue can impair proper closure.
- Connective Tissue Disorders: Conditions such as Marfan syndrome and other inherited disorders can affect the aortic valve and aortic root.
Risk Factors
- Bicuspid aortic valve
- Older age
- High blood pressure
- Previous rheumatic fever or rheumatic heart disease
- Previous infective endocarditis
- Aortic aneurysm or aortic root enlargement
- Previous aortic or cardiac surgery
- Certain connective tissue disorders
- Family history of aortic or valve disease
- Certain congenital heart abnormalities
Latest Research and Technologies in the Treatment of Aortic Valve Regurgitation in Turkey
Modern care for aortic valve regurgitation increasingly uses advanced echocardiography, 3D imaging, cardiac CT, cardiac MRI, and detailed assessment of the aortic root and left ventricular function to determine disease severity and treatment timing. Surgical aortic valve repair or replacement remains important for patients with significant disease who meet treatment criteria. Transcatheter approaches for aortic regurgitation are also developing, with selected transcatheter valve technologies being evaluated or used in appropriate patients with suitable anatomy who may not be candidates for conventional surgery.
Treatment options for Aortic Valve Regurgitation
Surgical Aortic Valve Replacement (SAVR): A standard treatment for severe aortic regurgitation when intervention is indicated. Surgery is recommended for symptomatic severe AR and for selected asymptomatic patients when left ventricular function or size reaches guideline-based thresholds
Bentall procedure : A complex open-heart surgery that simultaneously replaces a diseased aortic valve, a weakened aortic root, and the ascending aorta. It uses a specialised medical device called a composite graft, a synthetic tube with a mechanical or tissue heart valve built inside it.
Transcatheter Aortic Valve Replacement (TAVR) : This is highly specific and appropriately qualified. While TAVR is traditionally reserved for aortic stenosis, it is an emerging, specialised off-label or device-specific consideration for pure, severe AR only in completely inoperable patients, as the lack of valve calcification makes securing a transcatheter valve technically difficult.
- Clinical assessment:
- Medical History: Assessment includes symptoms, previous rheumatic fever, infections, congenital heart disease, previous cardiac procedures, aortic disease, and family history.
- Physical Examination: A doctor may listen for an abnormal heart murmur and assess blood pressure, pulse, heart rhythm, breathing, and signs of fluid retention.
- Electrocardiogram (ECG): Evaluates heart rhythm and electrical activity and may show changes associated with cardiac enlargement or strain.
- Exercise or Stress Testing: May help assess functional capacity and symptoms in selected patients who can safely exercise.
- Blood Tests: Selected tests may assess kidney function, blood counts, infection, or other conditions relevant to treatment.
- Imaging Tests:
- Transthoracic Echocardiography (TTE): The primary test for assessing aortic valve structure, the severity of regurgitation, left ventricular size and function, and associated abnormalities.
- Transesophageal Echocardiography (TEE): Provides detailed images of the aortic valve and surrounding structures and may be particularly useful for treatment planning or suspected acute disease.
- 3D Echocardiography: Provides detailed information about valve anatomy and aortic root structures in selected patients.
- Cardiac CT: Helps evaluate the aortic valve, aortic root, ascending aorta, and anatomy relevant to selected procedures.
- Cardiac MRI: Can quantify regurgitant blood flow and assess ventricular volumes and function when echocardiographic findings are inconclusive or additional information is needed.
- Chest X-ray: May show heart enlargement or changes associated with advanced cardiac disease.
- Cardiac Catheterisation: May be used in selected patients for haemodynamic assessment, coronary evaluation, or treatment planning.
MediRehab (a chain of Rehab centres, part of MediGence) provides comprehensive rehabilitation services designed to support Aortic Valve Regurgitation patients in Turkey. These services include:
- Cardiac Rehabilitation: Selected patients may benefit from structured rehabilitation following valve surgery or other cardiac treatment.
- Gradual Physical Activity: Increase activity according to symptoms, ventricular function, treatment history, and guidance from the cardiac team.
- Exercise Conditioning: Individualised exercise may help improve strength and endurance,
- Long-Term Follow-Up: Regular cardiology and echocardiographic assessment helps monitor valve function, left ventricular size and function, and the aorta when relevant.
- Medicines are selected according to the severity and cause of aortic regurgitation and the patient's overall cardiac condition. Blood-pressure medicines may be used to reduce cardiovascular workload when hypertension is present, while diuretics may help manage fluid retention in patients with heart failure. Other medicines may be prescribed for heart failure, coronary artery disease, or abnormal heart rhythms when indicated.
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Hospitals for Aortic Valve Regurgitation in Turkey
I.A.U VM Medical Park Florya Hospital
Istanbul, Turkey
I.A.U VM Medical Park Florya Hospital located in Istanbul, Turkey is accredited by JCI. Also listed below are some of the most prominent infrastructural details:
- Situated on an area of 51.000 m2
- Capacity of 300 beds
- 13 Operating rooms
- 92 Polyclinics
- Emergency Unit
- Intensive care Unit
- Parking lots
- Places of worship
- Rooms designed according to different needs offer the comfort of a 5-star hotel
- Special services are provided in all rooms, from television with domestic and foreign channels to internet service, from patient-specific diet menu to newspaper and magazine service
- Cafe/Restaurant with delicious menu
Biruni University Hospital
Istanbul, Turkey
Biruni University Hospital started to serve in 2016. It is a full-fledged multi-specialty healthcare facility, situated in Istanbul, Turkey. The hospital is well-known for its outstanding medical care standards, and it has acquired numerous certificates from international quality organizations. It is a renowned & well-established healthcare facility that provides cutting-edge diagnostic and treatment approaches. They have a team of highly skilled doctors and surgeons on call 24 hours a day, seven days a week to deliver the best medical care possible.
The hospital has various medical departments such as Cardiology, Neurology, Urology, Rheumatology, Pediatrics, General Medicine and Surgery, Gastroenterology, etc. Popular treatments conducted at the hospital are Pediatric Neurology, Cardiac Stenting, Balloon Angioplasty, Bypass surgery, plastic surgery procedures like Hair transplant, & Botox injections, and many more. The hospital is known for its most valuable service i.e. service to human health. Hospital management & professionals define their service concept with the significance attached to the belief. The management is concerned with both medical statistics and, above all, the satisfaction of the patients. Patients from other countries are well looked after. The hospital offers international patients a relaxing and secure environment in terms of psychology, comfort, and health.
The hospital's primary purpose is to provide world-class patient-centered health care through our highly responsible team who can produce information and use it appropriately. With its university-based scientific infrastructure and competent health care, the hospital's management has long-term plans for it, with a desire to be an innovative and leading health institution that is regarded as a reference in the country and around the world. Several value-added services and quality policies are available at the facility. To mention a few, the hospital is open to development and technology, continuously measuring and improving, training qualified health professionals, caring about patient and employee satisfaction, and becoming mobilized to bring an environment of reliable diagnosis, treatment, and care to the majority of the society.
Antalya Anadolu Hastanesi
Antalya, Turkey
Apart from in-detail treatment procedures available, Antalya Anadolu Hastanesi located in Antalya , Turkey has a wide variety of facilities available for International Patients. Some of the facilities which are provided by them are Accommodation, Airport Transfer, Choice of Meals, Interpreter, TV inside room. Also listed below are some of the most prominent infrastructural details:
- A technological powerhouse, it provides 24*7 trauma care.
- 4 suites and 54 luxurious rooms
- 3 exceptional operating theatres
- 3 Intensive Care Units
- Efficient and capable healthcare personnel
- Focus on patient care, reasonable prices
- State of the art diagnostics setup
- Recognised for providing integrated care for complex cases and rare cases
- Latest 1.5 Tesla MR, 64 2 Multi-slice Computed Tomography (CT), coronary angiography, and panendoscope
- Treatments such as angioplasty(PTCA), cryotherapy, IVF, ERCP, peritoneoscopy, facial palsies, and electro shock wave lithotripsy are available
- Widely experienced and well educated healthcare professionals are at the forefront of healthcare delivery at the Antalya Anadolu Hospital, Antalya, Turkey
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Why Choose Turkey for Aortic Valve Regurgitation Treatment?
- Experienced Cardiac Specialists: Access to cardiologists, interventional cardiologists, cardiac surgeons, and specialists involved in aortic valve and aortic disease management.
- Advanced Cardiac Imaging: Major centres may provide TTE, TEE, 3D echocardiography, cardiac CT, and cardiac MRI.
- Aortic Valve Repair: Selected centres offer surgical valve repair for patients with suitable anatomy.
- Valve Replacement: Hospitals may provide surgical aortic valve replacement using mechanical or biological prosthetic valves.
- Aortic Surgery: Complex centres may manage patients requiring combined valve and aortic root or ascending aorta surgery.
- Transcatheter Treatment: Selected patients may have access to evolving transcatheter approaches when appropriate for their anatomy and clinical situation.
- Multidisciplinary Heart Teams: Cardiologists, cardiac surgeons, imaging specialists, anaesthesiologists, intensivists, and rehabilitation professionals can coordinate complex cases.
- International Patient Support: Many major Turkey hospitals provide assistance with medical records, appointments, treatment coordination, accommodation, and follow-up.
Frequently Asked Questions
Reviewer
Dr. Nityanand Tripathi
Interventional Cardiologist
29 Years of Experience
With a rich experience of more than 29 years, Dr. Nityanand has gained a vast spectrum of skills and expertise in performing all types of complex cardiac procedures. He is an expert in clinical & interventional cardiology and electrophysiology. He studied his medicine (MBBS) and MD from the Institute of Medical Sciences of Banaras Hindu University, Varanasi, and later completed his DM in Cardiology from the prestigious King George Medical University, Lucknow. View More
Last Reviewed - January 2026