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Heart valve

life science Maturity 9-11 Next article →

A heart valve, also known as a cardiac valve, is a biological one-way valve. Its primary purpose is to allow blood to flow in only one direction through the chambers of the heart. In mammals, the heart usually contains four distinct valves. These structures work together to determine the exact direction of blood flow. They ensure that blood moves forward through the heart rather than leaking backward.

Heart diagram-en
Heart diagram-en

The mechanism of a heart valve is driven by blood pressure. Pressure is the force exerted by blood against its surroundings. A valve opens when the pressure on one side is higher than the pressure on the other side. When the pressure changes, the valve closes to create a seal. The valves consist of flaps called leaflets or cusps. These flaps are shaped similarly to a duckbill or a flutter valve. They are pushed open to allow flow and then meet to prevent backflow. To make the seal tighter, there are often nodules at the tips of the cusps.

There are two main groups of valves in the mammalian heart. The first group is the atrioventricular valves. These separate the upper atria from the lower ventricles. On the right side of the heart, the tricuspid valve sits between the right atrium and the right ventricle. It features three cusps: the anterior, posterior, and septal cusps. On the left side, the mitral valve, or bicuspid valve, sits between the left atrium and the left ventricle. It is called bicuspid because it only has two cusps, which are the anterior and posterior ones. The mitral valve gets its name from its resemblance to a bishop's mitre, a type of hat.

Apikal4D
Apikal4D

The atrioventricular valves use a special support system called the subvalvular apparatus. This system includes chordae tendineae, which are strings that anchor the valves to the ventricle walls. These strings are attached to papillary muscles. The purpose of this apparatus is to prevent the valves from prolapsing, or flipping backward, into the atria. While these structures help hold the valve in place, they do not cause the opening or closing. That action is caused entirely by the pressure gradient across the valve.

Blausen 0459 Heart VentriclesContract
Blausen 0459 Heart VentriclesContract

The second group is the semilunar valves. These are located at the exits of the heart where blood enters the large arteries. The aortic valve is located at the entrance to the aorta. It sits between the left ventricle and the aorta and has three cusps: left, right, and posterior. The pulmonary valve, or pulmonic valve, is at the entrance to the pulmonary artery. It also has three cusps: left, right, and anterior. Unlike the atrioventricular valves, semilunar valves do not have chordae tendineae. They are more similar to the valves found in arteries.

Latidos
Latidos

We can actually hear these valves working through the sounds of a heartbeat. The closure of the atrioventricular valves creates the first heart sound, known as "lub" or S1. The closure of the semilunar valves creates the second heart sound, known as "dub" or S2. The aortic valve contributes to the A2 component of this second sound. The pulmonary valve contributes to the P2 component. Because the right heart is a low-pressure system, the P2 component is usually softer than the A2 component.

Wiggers Diagram
Wiggers Diagram

During development, these valves form from specific tissues in the embryonic heart. The atrioventricular valves develop from the edges of the atrioventricular canals. The semilunar valves form from four thickenings called endocardial cushions. These cushions are located at the cardiac end of the truncus arteriosus. The truncus arteriosus is a single outflow tract that eventually splits into the aorta and the pulmonary trunk. By the ninth week of development, these valves are visible as unique structures. As the heart grows, the valves rotate and move closer to the heart.

Apikal4D explained
Apikal4D explained

Sometimes, these valves do not function correctly, which is called valvular heart disease. There are two main types of dysfunction. The first is regurgitation, or insufficiency. This happens when a valve fails to seal properly, allowing blood to flow in the wrong direction. The second type is stenosis. This occurs when a valve becomes narrow because it has become too thick. For example, mitral valve stenosis is a common result of rheumatic fever. Doctors often use tools like echocardiograms to study these movements and ensure the heart maintains proper fluid dynamics.

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File:Heart diagram-en.svg
Heart diagram-en.svg
File:Latidos.gif
Latidos.gif
File:Apikal4D.gif
Apikal4D.gif
File:Wiggers Diagram.svg
Wiggers Diagram.svg
File:Apikal4D explained.png
Apikal4D explained.png
File:Blausen 0459 Heart VentriclesContract.png
Blausen 0459 Heart VentriclesContract.png
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