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Thursday, February 18, 2021

Aortic valve

The aortic valve is a cardiac valve, an anatomical structure separating the ventricle from the aorta. It is made up of three semilunar cusps—one dorsal, one anterolateral on the left and one anterolateral on the right. Above these cusps arise the coronary arteries, which supply the cardiac muscle with blood.

Aortic valve
 Aortic valve

On the picture - Section of the aorta opened to show the semilunar cusps of the aortic valve. 

The semilunar cusps prevent reflux of blood into the left ventricle. During systole, the blood-filled ventricle contracts and ejects its contents into the aorta across the aortic valve to supply the organs with blood. During diastole, the aortic valve is closed. Its opening and closure are passive, depending on the pressure difference on either side of the valve. It opens when the pressure downstream is less than the pressure upstream; it closes when the pressures are reversed.

More details: 📖 Lippincott® Illustrated Reviews: Anatomy

A horizontal section of the upper heart showing the anatomical relations of the tricuspid, mitral, aortic and pulmonary valves.
A horizontal section of the upper heart showing the anatomical relations of the tricuspid, mitral, aortic and pulmonary valves.

References

1: Piazza N, de Jaegere P, Schultz C, Becker AE, Serruys PW, Anderson RH.
Anatomy of the aortic valvar complex and its implications for transcatheter
implantation of the aortic valve. Circ Cardiovasc Interv. 2008 Aug;1(1):74-81.
doi: 10.1161/CIRCINTERVENTIONS.108.780858. Erratum in: Circ Cardiovasc Interv.
2008 Oct;1(2):e1. PMID: 20031657.

2: Randhawa A, Gupta T, Singh P, Aggarwal A, Sahni D. Description of the aortic
root anatomy in relation to transcatheter aortic valve implantation. Cardiovasc
Pathol. 2019 May-Jun;40:19-23. doi: 10.1016/j.carpath.2019.01.005. Epub 2019 Jan
21. PMID: 30772639.

3: De Biase C, Mastrokostopoulos A, Philippart R, Desroche LM, Blanco S, Rehal
K, Dumonteil N, Tchetche D. Aortic valve anatomy and outcomes after
transcatheter aortic valve implantation in bicuspid aortic valves. Int J
Cardiol. 2018 Sep 1;266:56-60. doi: 10.1016/j.ijcard.2018.01.018. PMID:
29887473.

4: Moscarelli M, De Paulis R. The phyllotaxis of the aortic valve. Monaldi Arch
Chest Dis. 2019 Sep 10;89(3). doi: 10.4081/monaldi.2019.1139. PMID: 31505914.

5: Kunihara T. Anatomy of the aortic root: implications for aortic root
reconstruction. Gen Thorac Cardiovasc Surg. 2017 Sep;65(9):488-499. doi:
10.1007/s11748-017-0792-y. Epub 2017 Jun 27. PMID: 28656518.

6: Patel JS, Krishnaswamy A, Svensson LG, Tuzcu EM, Mick S, Kapadia SR. Access
Options for Transcatheter Aortic Valve Replacement in Patients with Unfavorable
Aortoiliofemoral Anatomy. Curr Cardiol Rep. 2016 Nov;18(11):110. doi:
10.1007/s11886-016-0788-8. PMID: 27650782.

7: Loukas M, Bilinsky E, Bilinsky S, Blaak C, Tubbs RS, Anderson RH. The anatomy
of the aortic root. Clin Anat. 2014 Jul;27(5):748-56. doi: 10.1002/ca.22295.
Epub 2013 Sep 2. PMID: 24000000.

8: Boodhwani M, El Khoury G. Aortic valve repair: indications and outcomes. Curr
Cardiol Rep. 2014;16(6):490. doi: 10.1007/s11886-014-0490-7. PMID: 24743899.

9: D'ostrevy N, Ngo H, Magnin B, Azarnoush K, Cassagnes L, Camilleri L. Bicuspid
and tricuspid aortic valve do not have the same ascending aorta morphology. Clin
Anat. 2018 Jul;31(5):693-697. doi: 10.1002/ca.23197. Epub 2018 May 25. PMID:
29700864.

10: Fernández Esmerats J, Heath J, Jo H. Shear-Sensitive Genes in Aortic Valve
Endothelium. Antioxid Redox Signal. 2016 Sep 1;25(7):401-14. doi:
10.1089/ars.2015.6554. Epub 2016 Jan 21. PMID: 26651130; PMCID: PMC5011632.

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