Aortic Valve Anatomy: Implications for Transcatheter Aortic Valve Replacement
Chapter
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Abstract
Comprehensive knowledge of aortic valve and aortic root anatomy is essential for catheter-based interventions on the aortic valve. The aortic valve and aortic root complex extends from the left ventricular outflow tract to the sinuses of Valsalva and primarily functions to support forward cardiac output and provide coronary perfusion. Transcatheter valve prostheses sit within the aortic root. Understanding the normal, as well as abnormal, arrangement and structures of the aortic valve and adjoining structures allows proper sizing and positioning of the transcatheter aortic valve and helps to circumvent complications that may arise during and after implantation.
Keywords
Aortic valve Aortic stenosis Aortic insufficiency Aorta Aortic root AnatomyReferences
- 1.Gross L, Kugel MA. Topographic anatomy and histology of the valves in the human heart. Am J Pathol. 1931;7:445–74.PubMedPubMedCentralGoogle Scholar
- 2.Reid K. The anatomy of the sinus of Valsalva. Thorax. 1970;25:79–85.CrossRefPubMedPubMedCentralGoogle Scholar
- 3.Crawford MH, Roldan CA. Prevalence of aortic root dilatation and small aortic roots in valvular aortic stenosis. Am J Cardiol. 2001;87:1311–3.CrossRefPubMedGoogle Scholar
- 4.Sutton JP, Ho SY, Anderson RH. The forgotten interleaflet triangles: a review of the surgical anatomy of the aortic valve. Ann Thorac Surg. 1995;59:419–27.CrossRefPubMedGoogle Scholar
- 5.Gatzoulis MA. Heart and mediastinum. In: Standring S, editor. Gray’s anatomy: the anatomic basis of clinical practice. 40th ed. Spain: Elsevier; 2008. p. 960–82.Google Scholar
- 6.Mercer JL, Benedicty M, Bahnson HT. The geometry and construction of the aortic leaflet. J Thorac Cardiovasc Surg. 1973;65:511–8.PubMedGoogle Scholar
- 7.Piazza N, de Jaegere P, Schultz C, et al. Anatomy of the aortic valvar complex and its implications for transcatheter implantation of the aortic valve. Circ Cardiovasc Interv. 2008;1:74–81.CrossRefPubMedGoogle Scholar
- 8.Vollebergh FE, Becker AE. Minor congenital variations of cusp size in tricuspid aortic valves: possible link with isolated aortic stenosis. Br Heart J. 1977;39:1006–11.CrossRefPubMedPubMedCentralGoogle Scholar
- 9.Anderson RH. Clinical anatomy of the aortic root. Heart. 2000;84:670–3.CrossRefPubMedPubMedCentralGoogle Scholar
- 10.Lewis T, Grant RT. Observations related to subacute infective endocarditis. Heart. 1923;4:21–99.Google Scholar
- 11.Roberts W. The congenitally bicuspid aortic valve: a study of 85 autopsy cases. Am J Cardiol. 1970;26:72–83.CrossRefPubMedGoogle Scholar
- 12.Ward C. Clinical significance of the bicuspid aortic valve. Heart. 2000;83:81–5.CrossRefPubMedPubMedCentralGoogle Scholar
- 13.Himbert D, Pontnau F, Messika-Zeitoun D, Descoutures F, et al. Feasibility and outcomes of transcatheter aortic valve implantation in high-risk patients with stenotic bicuspid aortic valves. Am J Cardiol. 2012;110:877–83.CrossRefPubMedGoogle Scholar
- 14.Alexander RW, Griffith GC. Anomalies of the coronary arteries and their clinical significance. Circulation. 1956;14:800–5.CrossRefPubMedGoogle Scholar
- 15.Angelini P, Velasco JA, Flamm S. Coronary anomalies: incidence, pathophysiology, and clinical relevance. Circulation. 2002;105:2449–54.CrossRefPubMedGoogle Scholar
- 16.Loukas M, Groat C, Khangura R, Owens DG, Anderson RH. The normal and abnormal anatomy of the coronary arteries. Clin Anat. 2009;22:114–28.CrossRefPubMedGoogle Scholar
- 17.Zamorano JL, Goncalves A, Lang R. Imaging to select and guide transcatheter aortic valve implantation. Eur Heart J. 2014;35:1578–87.CrossRefPubMedPubMedCentralGoogle Scholar
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