The morphology of the right atrioventricular valve in the adult human heart

• Autorzy: Skwarek M , Hreczecha J. , Dudziak M. , Grzybiak M.
• Języki publikacji: EN

Abstrakty

EN

Studies of the morphometry and normal anatomy of the tricuspid valve are in constant demand. Knowledge of the morphology of the normal tricuspid valve may be useful, for example in the context of the transfer of a leaflet of the tricuspid valve for repair or insufficiency of the mitral valve, in repair of the tricuspid valve after blunt chest trauma and in other surgical techniques of this region. In this study, performed in a group of 107 formalin-fixed adult human hearts, we attempted to assess the form and number of the main and accessory cusps in the tricuspid valve. Rare anatomical variants of the tricuspid valve were found. Using a planimeter we evaluated the surface area of the tricuspid valve and particular leaflets. With the help of a Vernier scale we measured the length and height of individual leaflets of the tricuspid valve and the length of the commissures. No differences were found between the length of the anterior and septal leaflets. The posterior leaflet was the shortest, while the anterior leaflet was the widest and had the largest surface area. The posterior leaflet was wider than the septal leaflet and had the smallest surface area. No differences were found between the main and accessory leaflets in the length of the commissures.

Słowa kluczowe

EN

morphology; man; right atrioventricular valve; adult; human heart; heart; atrioventricular valve; tricuspid valve; right ventricle; leaflet

• Wydawca: -
• Czasopismo: Folia Morphologica
• Rocznik: 2006
• Tom: 65
• Numer: 3
• Opis fizyczny: p.200-208,fig.,ref

Twórcy

autor

Skwarek M

• Medical University of Gdansk, Debinki 1, 80-211 Gdansk, Poland

autor

Hreczecha J.

autor

Dudziak M.

autor

Grzybiak M.

Bibliografia

• 1. Anderson RH, Benson R, Wilcox MD (2000) Reply. Ann Thorac Surg, 69: 1990.
• 2. Anderson RH, Webb S, Brown NA, Lamers W, Moorman A (2003) Development of the heart: (2) Septation of the atriums and ventricles. Heart, 98: 949–958.
• 3. Ballinger PW (1995) Merrill’s atlas of radiographic positions and radiologic procedures. 8th Ed. Mosby, Year Book Inc. St Louis Missouri.
• 4. Cardarelli MG, Gammie JS, Brown JM, Poston RS, Pierson RN 3rd, Griffith BP (2005) A novel approach to tricuspid valve replacement: the upside down stentless aortic bioprosthesis. Ann Thorac Surg, 80: 507–510.
• 5. Carrier M, Hebert Y, Pellerin M, Bouchard D, Perrault LP, Cartier R, Basmajian A, Page P, Poirier NC (2003) Tricuspid valve replacement: an analysis of 25 years experience at asingle center. Ann Thorac Surg, 75: 47–50.
• 6. Crumbley AJ, Van Bakel AB. Tricuspid valve repair for biopsy-induced regurgitation after cardiac transplantation. Ann Thorac Surg, 1994; 58: 1156--1160.
• 7. Dimas VV, Grifka RG, Fraser CD Jr (2004) Combined tricuspid valvuloplasty and superior cavopulmonary anastomosis for repair of traumatic tricuspid valve injury. Tex Heart Inst J, 31: 418–420. Comment in: Tex Heart Inst J (2005) 32: 114 (author reply 114).
• 8. Glover RP, Bailey CP, O’Neill TJE (1950) Surgery of stenotic valvular disease of the heart. JAMA 144: 1049–1052.
• 9. Hartyanszky I, Prodan Z, Kiraly L, Mihalyi S, Bodor G, Tamas C, Lozsadi K (2005) Challenges in the surgical management of hearts with functional single ventricle. Orv Hetil, 33: 1721–1726.
• 10. Hudson REB (1965) Cardiovascular Pathology. Vol. I and II. 1st Ed. LTD, London.
• 11. Januszewicz W, Kokot F (2001) Interna. Vol. 1. 1st Ed. PZWL, Warsaw.
• 12. Jastrzębski C (1926) O zmienności kształtu zastawki trójdzielnej serca i o otworach wrodzonych w jej płatkach. Kosmos, Seria A. Biologia, 51: 191–198.
• 13. Kelley WN (1989) Internal Medicine. 1st Ed. Lippincott Company, Philadelphia.
• 14. Kosiński A, Kuta W, Grzybiak M, Ciszkowicz M, Kamiński R (2000) Morfologia zastawki trójdzielnej w sercu człowieka dorosłego i innych naczelnych. Przegl Med, 2: 80–83.
• 15. Lamers W H, Virágh S, Wessels A, Moorman AFM, Anderson RH (1995) Formation of the tricuspid valve in the human heart. Circulation, 91: 111–121.
• 16. Langberg JJ, Man KC, Vorperian VR, Williamson B, Kalbfleisch SJ, Strickberger SA, Hummel JD, Morady F (1993) Recognition and catheter ablation of subepicardial accessory pathways. J Am Coll Cardiol, 22: 1100–1104.
• 17. Łukaszewska-Otto H (1970) Zmienność budowy zastawki przedsionkowo-komorowej prawej u człowieka. Rozprawa habilitacyjna. Akademia Medyczna w Warszawie.
• 18. Miki K, Maekura R, Higara T, Hirotani A, Hashimoto H, Kitada S, Miki M, Yoshimura K, Naka N, Motone M, Fujikawa T, Takashima S, Kitazume R, Kanzaki H, Nakatani S, Watanuki H, Tagusari O, Kobayashi J, Ito M (2005) Infective tricuspid valve endocarditis with pulmonary emboli caused by Campylobacter fetus after tooth extraction. Intern Med, 10: 1055–1059.
• 19. Rocache M (1967) La commisurotomie tricuspide. Thèse pour le doctorat en medecine. Faculté de médecine de Paris edition, Paris.
• 20. Sharieff S, Sagir T, Shah-e-Zaman K (2005) Concurrent percutaneous valvuloplasty of mitral and tricuspid valve stenoses. J Invasive Cardiol, 17: 340–342.
• 21. Skwarek M, Grzybiak M, Kosiński A, Hreczecha J (2004) Notes on the morphology of the tricuspid valve in the adult human heart. Folia Morphol, 63: 319–324.
• 22. Skwarek M, Hreczecha J, Grzybiak M, Kosiński A (2005) Remarks on the morphology of the papillary muscles of the right ventricle. Folia Morphol, 64: 176–182.
• 23. Skwarek M, Hreczecha J, Grzybiak M, Kosiński A (2005) Unusual anatomical features of the right atrioventricular valve. Folia Morphol, 64: 183–187.
• 24. Sutton JP III, Yen Ho S, Vogel M, Anderson RH (1995) Is the morphologically right atrioventricular valve tricuspid? J Heart Valve Dis, 4: 571–575.
• 25. Stahl RD, Karwande SV, Olsen SL, Taylor DO, Hawkins JA, Renlund DG (1995) Tricuspid valve dysfunction in the transplanted heart. Ann Thorac Surg, 59: 477–480.
• 26. Szostakiewicz-Sawicka H Grzybiak M (1981) Zgodność rozwoju osobniczego niektórych cech budowy serca z przypuszczalnym kierunkiem ich rozwoju w antropogenezie. Morfologia, podręczniki, skrypty AWF. Seria: Monografie, 199: 9–16.
• 27. Szostakiewicz-Sawicka H (1967) Zastawka przedsionkowo-komorowa prawa u naczelnych. Rozprawa habilitacyjna. Acta Biol Med Soc Sc Gedan, 11: 545–589.
• 28. Testut L (1923) Anatomia Umana. Vol. IV. Angiologia, 3rd Ed. Utet, Torino.
• 29. Testut L, Latarjet A (1948) Traite d’anatomie humaine. Vol. II. 6th Ed. G. Doin Cie, Paris.
• 30. Victor S, Nayak VM (1994) The tricuspid valve is bicuspid. J. Heart Valve Dis, 3: 27–36.
• 31. Victor S, Nayak VM (1998) Bicuspidation for tricuspid stenosis. Ann Thorac Surg, 65: 1468–1470.
• 32. Williams P, Warwick R, Dyson M, Bannister L (eds.) (1989) Gray’s anatomy atlas. 37th Ed. Churchill Livingstone, Edinburgh, London, Melbourne, New York.
• 33. Wafae N, Hayashi H, Gerola LR, Vieira MC (1990) Anatomical study of the human tricuspid valve. Surg Radiol Anat, 12: 37–41.
• 34. Yamashita S, Noma K, Kuwata G, Miyoshi K, Honaga K (2005) Infective endocarditis at tricuspid valve following central venous catheterization. J Anesth, 19: 84–87.