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Anatomy of the Aortic Valve and its Morphological Characteristics

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Abstract

The aortic root is a structure consisting of the lower part of the ascending aorta, sinotubular junction (STJ), annulus, cusps, aortic sinus of Valsalva, and coronary artery ostia. When considering the structure of the aortic root and its surroundings, confirming the structure of (1) the junction of the root of the pulmonary trunk (PT) with the right ventricular outflow tract (RVOT) as a basic concept makes it simpler to understand the precise structure of (2) the junction of the aortic root with the left ventricular outflow tract (LVOT).

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Abbreviations

AAo:

Ascending aorta

AMFC:

Aorto-mitral fibrous continuity

AML:

Anterior mitral leaflet

AoV:

Aortic valve

APC:

Anterior pulmonary cusp

APM:

Anterior papillary muscle

ATL:

Anterior tricuspid leaflet

AVJ:

Aorto-ventricular junction, artero-ventricular junction

BR:

Basal ring

CS:

Coronary sinus

HB:

His bundle

HBb:

Branching portion of His bundle

HBp:

Penetrating portion of His bundle

IAS:

Interatrial septum

ILT:

Interleaflet triangle

IVFT:

Intervalvular fibrous trigone

IVS:

Interventricular septum

LA:

Left atrium

LAA:

Left atrial appendage

LAD:

Left anterior descending coronary artery

LAFT:

Left anterior fibrous trigone

LAS:

Left aortic sinus of Valsalva

LCAos:

Left coronary artery ostium

LCC:

Left coronary cusp of aortic valve

LCX:

Left circumflex coronary artery

LFT:

Left fibrous trigone

LIPV:

Left inferior pulmonary vein

LMT:

Left main trunk

LV:

Left ventricle

LVAW:

Anterior wall of left ventricle

LVM:

Left ventricular muscle

LVOT:

Left ventricular outflow tract

MS:

Membranous septum

MV:

Mitral valve

NAS:

Non-coronary aortic sinus of Valsalva

NCC:

Non-coronary cusp of aortic valve

PML:

Posterior mitral leaflet

PPC:

Posterior pulmonary cusp

PPM:

Posterior papillary muscle

PS:

Pulmonary sinus

PT:

Pulmonary trunk

PTL:

Posterior tricuspid leaflet

PTS:

Pericardial transverse sinus

PV:

Pulmonary valve

RA:

Right atrium

RAA:

Right atrial appendage

RAFT:

Right anterior fibrous trigone

RAS:

Right aortic sinus of Valsalva

RCA:

Right coronary artery of aortic valve

RCAos:

Right coronary artery ostium

RCC:

Right coronary cusp

RFT:

Right fibrous trigone

RV:

Right ventricle

RVM:

Right ventricular muscle

RVOT:

Right ventricular outflow tract

SMT:

Septomarginal trabecula

SPC:

Septal pulmonary cusp

STJ:

Sinotubular junction

STL:

Septal tricuspid leaflet

SVC:

Superior vena cava

TV:

Tricuspid valve

References

  1. Igawa O. Clinical cardiac structurology. Tokyo: Igaku-Shoin; 2011.

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  2. Wuliya M, Sleilaty G, Di Centa I, Khelil N, Berrebi A, Czitrom D, et al. An expansible aortic ring to preserve aortic root dynamics after aortic valve repair. Eur J Cardiothorac Surg. 2015;47:482–90.

    Article  Google Scholar 

  3. David TE. Aortic root aneurysms: remodeling or composite replacement? Ann Thorac Surg. 1997;64:1564–8.

    Article  CAS  Google Scholar 

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Correspondence to Osamu Igawa .

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Igawa, O. (2019). Anatomy of the Aortic Valve and its Morphological Characteristics. In: Kunihara, T., Takanashi, S. (eds) Aortic Valve Preservation. Springer, Singapore. https://doi.org/10.1007/978-981-13-2068-2_1

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  • DOI: https://doi.org/10.1007/978-981-13-2068-2_1

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  • Publisher Name: Springer, Singapore

  • Print ISBN: 978-981-13-2067-5

  • Online ISBN: 978-981-13-2068-2

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