Aortic Valve

Is in the middle of the heart, surrounded by everything else - William F. Northrup III MD

Aortic Valve

image by: Ahmed Ellaien

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History in medicine: the aortic valve

Is it possible to write a historical paper on the aortic valve? To modern cardiologists, the aortic valve has always been a fact, with a large range of diagnostic and therapeutic options at our disposition. But how and when was this knowledge built? Who developed the technologies? Standing on the shoulders of our predecessors, we should not take our current knowledge for granted. Insight into how we have come this far will increase our appreciation of all the possibilities we have to treat our patients.

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 History in medicine: the aortic valve

This paper on the aortic valve covers five centuries. From Galenus to the first accurate drawing by da Vinci in 1515, it moves on to Harvey who described the cardiac circulation in 1628. This pivotal work was the start of new developments and inventions (stethoscope by Laennec, 1816) that progressively enabled diagnosis and treatment of aortic valve disorders.

Radiopaedia

The valve has left, right, and posterior cusps, the bases of which attach around the valve orifice to a fibrous ring or annulus, forming part of the fibrous skeleton of the heart. The cusps attach to each other and to the annulus at the commissures.

StatPearls

The aortic valve is a semilunar valve (diameter of about 20 mm) that generally has three leaflets. Common congenital differences include a bicuspid valve. More rarely, unicuspid valves can be present. The valve can be visualized via ultrasound. The valve divides one of the highest pressure differentials of the cardiopulmonary system and, as such, is subject to wear and tear injury.

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