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Anatomy and echocardiography of the normal and abnormal mitral valve

Published online by Cambridge University Press:  13 October 2006

Alfred Asante-Korang ,
Patrick W. O'Leary  and
Robert H. Anderson
Alfred Asante-Korang
Affiliation:
The Congenital Heart Institute of Florida, University of South Florida, St Petersburg, Florida, United States of America
Patrick W. O'Leary
Affiliation:
Pediatric Cardiology, Mayo Clinic, Rochester, Minnesota, United States of America
Robert H. Anderson
Affiliation:
Cardiac Unit, Institute of Child Health, University College, London, United Kingdom
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Abstract

Unlike the tricuspid valve, the mitral valve has frequently received the attention of anatomists. Indeed, the drawings made by Leonardo da Vinci still retain their currency,1 whilst it was no less a personage than Andreas Vesalius who, as far as we know, first likened the bifoliate appearance of the valve to the Episcopal mitre. It was also Vesalius who recommended that the two leaflets be described as aortic and mural, reflecting their respective relationships to the aortic valve and the parietal atrioventricular junction. It was Roberts and Perloff,2 however, who emphasized the necessity, for clinical purposes, of analyzing not only the valvar leaflets, but also the overall valvar complex. As we will demonstrate in our review, this approach to analysis also proves its worth for the echocardiographic recognition of the congenitally malformed valve.

Keywords

Atrioventricular valvesShone's complexparachute valveprolapse
Type
The Atrioventricular Valves
Information
Cardiology in the Young , Volume 16 , Supplement S3: Controversies and Challenges of the Atrioventricular Junctions and Other Challenges Facing Paediatric Cardiovascular Practitioners and their Patients , September 2006 , pp. 27 - 34
Copyright
© 2006 Cambridge University Press

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