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Chapter 4 - Surgical Anatomy of the Valves of the Heart

Published online by Cambridge University Press:  10 April 2024

Robert H. Anderson
Institute of Genetic Medicine, Newcastle University
Andrew C. Cook
University College London
Diane E. Spicer
University of Florida
Anthony M. Hlavacek
Medical University of South Carolina
Carl L. Backer
Cincinnati Children's Hospital
Justin T. Tretter
Cleveland Clinic, Ohio
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It is axiomatic that a thorough knowledge of valvar anatomy is a prerequisite for successful surgery, be it valvar replacement or reconstruction. The surgeon will also require a firm understanding of the arrangement of other aspects of cardiac anatomy to ensure safe access to a diseased valve or valves. These features were described in the previous chapter. Knowledge of the surgical anatomy of the valves themselves, however, must be founded on appreciation of their component parts, the relationships of the individual valves to each other, and their relationships to the chambers and arterial trunks within which they reside. This requires understanding of, first, the basic orientation of the cardiac valves, emphasizing the intrinsic features that make each valve distinct from the others. Such information must then be supplemented by attention to their relationships with other structures that the surgeon must avoid, notably the conduction tissues and the major channels of the coronary circulation.

Publisher: Cambridge University Press
Print publication year: 2024

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