Difference between revisions of "Heart valves"

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165 bytes added ,  14:01, 27 April 2012
→‎Normal histology: rename subdivide
(subdivide)
(→‎Normal histology: rename subdivide)
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**Myxomatous change?
**Myxomatous change?


=Normal histology=
=Normal morphology=
===Aortic valve===
==Aortic valve==
General:
===General===
*Covered by endothelium.
*Covered by endothelium.
*Mostly avascular (nutrients supplied by diffusion).
*Mostly avascular (nutrients supplied by diffusion).


===Gross===
Terminology:
Terminology:
*Base - closest to the aortic wall.
*Base - closest to the aortic wall.
*Free edge - closest to the centre of the valve/interacts with other valve cusps.
*Free edge - closest to the centre of the valve/interacts with other valve cusps.


Cusps:
*Left - has LMCA ostium.
*Right - has RCA ostium.
*Posterior (non-coronary cusp).
===Microscopic===
Three layers (from proximal (ventricular side) to distal (valsalva side)):<ref name=Ref_PBoD558>{{Ref PBoD|558}}</ref>
Three layers (from proximal (ventricular side) to distal (valsalva side)):<ref name=Ref_PBoD558>{{Ref PBoD|558}}</ref>
#Ventricularis.
#Ventricularis.
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*The loading of the ventricular aspect is tensile and the valsalva side compressive. Thus, it makes sense that the tissue on the ventricular aspect is good in tensile loading and the tissue on the valsalva side good in compression.  The elastic tissue can be thought of as [http://en.wikipedia.org/wiki/Rebar rebar]... the collagen as concrete.
*The loading of the ventricular aspect is tensile and the valsalva side compressive. Thus, it makes sense that the tissue on the ventricular aspect is good in tensile loading and the tissue on the valsalva side good in compression.  The elastic tissue can be thought of as [http://en.wikipedia.org/wiki/Rebar rebar]... the collagen as concrete.


===Mitral valve===
==Mitral valve==
===Gross===
===Gross===
*Cordae tendinae.
*Cordae tendinae.
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**No fusion.  
**No fusion.  


===Histology===
===Microscopic===
*Similar to the aortic valve.
Similar to the aortic valve - layers:
#Atrialis.
#Spongiosa.
#Fibrosa.


=Degenerative conditions=
=Degenerative conditions=
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