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Anatomy and echocardiography of the normal and abnormal tricuspid valve

Published online by Cambridge University Press:  13 October 2006

Richard M. Martinez
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

Abstract

Perhaps because it guards the inlet to the lesser circulation, the morphologically tricuspid valve has received less attention in terms of its anatomy than the well-explored mitral valve, which will receive attention in a subsequent review in this supplement.1 As we will show in our initial review, nonetheless, the approach to morphological analysis is the same for both valves, irrespective of whether the specific morphology is displayed in the autopsy room or the echocardiographic laboratory. It is essential that the valve be analysed so as to reveal the precise structure of each if its components – the so-called valvar complex.2 Equally important, in the current era, with the burgeoning use of three-dimensional displays that place the heart firmly within the context of the body, it is essential that the components of the valve be described as seen relative to the bodily axis,3 rather than following the present custom of describing the heart as though it is removed from the body and positioned on its own apex.

Type
The Atrioventricular Valves
Copyright
© 2006 Cambridge University Press

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