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The Journal of Thoracic and Cardiovascular Surgery, Vol 98, 362-367, Copyright © 1989 by The American Association for Thoracic Surgery and The Western Thoracic Surgical Association
A Angelini, SY Ho, RH Anderson, WA Devine, JR Zuberbuhler, AE Becker and MJ Davies
We studied 30 normal aortic valves and 64 aortic valves with only two
leaflets to examine their morphologic components. The components of the
aortic valve are the leaflets, the sinuses, and the interleaflet triangles.
The first part of our study shows the relationship of these component parts
of the normal aortic valve to the other cardiac structures. The second part
shows a wide variation in the architecture of valves having two leaflets.
Having produced criteria for the number of sinuses and the number of
leaflets, we discovered that previous criteria used in the definition of
valves with two leaflets are inadequate when the whole valvular complex is
considered. Only seven valves in the study have two leaflets supported by
two sinuses. The evidence points to the other valves having started with
three leaflets but becoming bicuspid during either intrauterine or
postnatal life.
ARTICLES
The morphology of the normal aortic valve as compared with the aortic valve having two leaflets
Department of Paediatric Cardiac Morphology, National Heart and Lung Institute, London, England.
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