Skip to main content

Abstract

In this chapter, we will discuss the anatomy of the tricuspid valve. As with the mitral valve, we will begin the structural anatomy of the papillary muscles. The anterior wall of the right ventricle must be removed to expose the outflow tract of the right ventricle (Fig. 8.1). The trabeculae of the sinus segment were dissected to reveal their attachment to the musculature of the right ventricle. The superior papillary (Lancisi) muscle is located beneath the inferior border of the posterior wall of the infundibulum. The line between the nadir of the left pulmonary leaflet and the superior papillary muscle demarcates the parietal and septal bands. This distance may vary, in the highly positioned infundibulum even reaching 2 cm; in the short infundibulum, this distance is shorter. The posterior wall of the infundibulum and its relationship to the superior papillary muscle is clearly visible on Fig. 8.2, in which the anterior and right leaflets of the pulmonary valve have been removed. The left cusp of the pulmonary valve lies straight over the posterior wall of the infundibulum. The parietal band projects over the anterior commissure and the anterior leaflet of the tricuspid leaflet.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 129.00
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 199.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 249.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

Preview

Unable to display preview. Download preview PDF.

Unable to display preview. Download preview PDF.

Bibliography

  1. Aktas EO, Govsa F et al (2004) Variations in the papillarymuscles of normal tricuspid valve and their clinical relevance in medicolegal autopsies. Saudi Med J 25:1176–1185

    PubMed  Google Scholar 

  2. Bykov OS (1969) [Anatomy of the heart tricuspid valve in humans]. Arkh Anat Gistol Embriol 57:59–66

    PubMed  CAS  Google Scholar 

  3. Gerola LR, Wafae N et al (2001) Anatomic study of the tricuspid valve in children. Surg Radiol Anat 23:149–153

    Article  PubMed  CAS  Google Scholar 

  4. Joudinaud TM, Flecher EM et al (2006) Functional terminology for the tricuspid valve. J Heart Valve Dis 15:382–388

    PubMed  Google Scholar 

  5. Loukas M, Shane Tubbs R et al (2009) An endoscopic and anatomical approach to the septal papillary muscle of the conus. Surg Radiol Anat 31:701–706

    Article  PubMed  Google Scholar 

  6. Nigri GR, Di Dio LJ et al (2001) Papillary muscles and tendinous cords of the right ventricle of the human heart: morphological characteristics. Surg Radiol Anat 23:45–49

    Article  PubMed  CAS  Google Scholar 

  7. Skwarek M, Hreczecha J et al (2007) Themorphology and distribution of the tendinous chords and their relation to the papillary muscles in the tricuspid valve of the human heart. Folia Morphol (Warsz) 66:314–322

    CAS  Google Scholar 

  8. Skwarek M, Dudziak M et al (2006) The connection between the papillary muscles and leaflets of the tricuspid valve. Folia Morphol (Warsz) 65:322–328

    CAS  Google Scholar 

  9. Sutton JP 3rd, Ho SY et al (1995) Is the morphologically right atrioventricular valve tricuspid? J Heart Valve Dis 4:571–575

    PubMed  Google Scholar 

  10. Victor S, Nayak VM (1994) The tricuspid valve is bicuspid. J Heart Valve Dis 3:27–36

    PubMed  CAS  Google Scholar 

  11. Vinals F, Pacheco V et al (2006) Fetal atrioventricular valve junction in normal fetuses and in fetuses with complete atrioventricular septal defect assessed by 4D volume rendering. Ultrasound Obstet Gynecol 28:26–31

    Article  PubMed  CAS  Google Scholar 

Bibliography

  1. Berreklouw E, Alfieri O (1984) Revival of right thoracotomy to approach atrio—ventricular valves in reoperations. Thorac Cardiovasc Surg 32:331–33

    Article  PubMed  CAS  Google Scholar 

  2. Fundaro P, Santoli C (1989) Towards an easier and safer reoperation of the atrioventricular valves: the right anterolateral thoracotomy approach without pericardial dissection. J Cardiovasc Surg (Torino) 30:779–781

    CAS  Google Scholar 

  3. Ide H, Sudo K et al (1996) [Tricuspid valve replacement by right thoracotomy with minimal dissection in reoperations]. Nippon Kyobu Geka Gakkai Zasshi 44:553–558

    PubMed  CAS  Google Scholar 

  4. Karimov JH, Bevilacqua S et al (2009) Triple heart valve surgery through a right antero-lateralminithoracotomy. Interact Cardiovasc Thorac Surg 9:360–362

    Article  PubMed  Google Scholar 

  5. Lee TC, Desai B et al (2009) Results of 141 consecutive minimally invasive tricuspid valve operations: an 11-year experience. Ann Thorac Surg 88:1845–1850

    Article  PubMed  Google Scholar 

  6. Sener T, Gercekoglu H et al (2001) Comparison of minithoracotomy with conventional sternotomy methods in valve surgery. Heart Surg Forum 4:26–30

    PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Rights and permissions

Reprints and permissions

Copyright information

© 2011 Springer-Verlag Berlin Heidelberg

About this chapter

Cite this chapter

Berdajs, D., Turina, M.I. (2011). Tricuspid Valve. In: Operative Anatomy of the Heart. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-540-69229-4_8

Download citation

  • DOI: https://doi.org/10.1007/978-3-540-69229-4_8

  • Publisher Name: Springer, Berlin, Heidelberg

  • Print ISBN: 978-3-540-69227-0

  • Online ISBN: 978-3-540-69229-4

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics