Abstract
The aortic root is a complex region of the heart anatomy. It is positioned immediately above the left ventricle as a bridge between the ventricle and the ascending aorta and has relationship to all cardiac chambers [1]. It could be considered the “centerpiece” of the heart.
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15 January 2019
Erratum to: K. Fattouch et al. (eds.), Advances in Treatments for Aortic Valve and Root Diseases, https://doi.org/10.1007/978-3-319-66483-5
References
Cook AC, Anderson RH. Attitudinally correct nomenclature. Heart. 2002;87:503–6.
Salica A, Pisani G, Morbiducci U, Scaffa R, Massai D, Audenino A, Weltert L, Guerrieri Wolf L, De Paulis R. The combined role of sinuses of Valsalva and flow pulsatility improves energy loss of the aortic valve. Eur J Cardiothorac Surg. 2016;49(4):1222–7.
Leyh RG, Schmidtke C, Sievers HH, Yacoub MH. Opening and closing characteristics of the aortic valve after different types of valve preserving surgery. Circulation. 1999;100:2153–60.
Ho SY. Structure and anatomy of the aortic root. Eur J Echocardiogr. 2009;10:i3–i10.
Pretre R, Kadner A, Dave H, Bettex D, Genoni M. Tricuspidisation of the aortic valve with creation of a crown-like annulus is able to restore a normal valve function in bicuspid aortic valves. Eur J Cardiothorac Surg. 2006;29:1001–6.
El Khoury G, Glineur D, Rubay J, Verhelst R, d’Acoz Y, Poncelet A, Astarci P, Noirhomme P, van Dyck M. Functional classification of aortic root/valve abnormalities and their correlation with etiologies and surgical procedures. Curr Opin Cardiol. 2005;20:115–21.
Sliver MA, Roberts WC. Detailed anatomy of the normally functioning aortic valve in hearts of normal and increased weight. Am J Cardiol. 1985;55:454–61.
Tamàs E, Nylander E. Echocardiographic description of the anatomic relations within the normal aortic root. J Heart Valve Dis. 2007;16:240–6.
Anderson RH. The surgical anatomy of the aortic root. Multimed Man Cardiothorac Surg. 2007;2007(102):mmcts.2006.002527. https://doi.org/10.1510/mmcts.2006.002527.
Anderson RH, Devine W, Ho SY, Smith A, McKay R. The myth of the aortic annulus: the anatomy of the subaortic outflow tract. Ann Thorac Surg. 1991;52:640–6.
Berdajs D, Lajos P, Turina M. The anatomy of the aortic root. Cardiovasc Surg. 2002;10:320–7.
Choo SJ, McRae G, Olomon JP, St George G, Davis W, Burleson-Bowles CL, et al. Aortic root geometry: pattern of differences between leaflets and sinuses of Valsalva. J Heart Valve Dis. 1999;8:407–15.
De Kerchove L, El Koury G. Anatomy and pathophysiology of the ventriculo-aortic junction: implication in aortic valve repaire surgery. Ann Cardiothorac Surg. 2013;2(1):57–64.
Blanke P, Russe M, Leipsic J, et al. Conformational pulsatile changes of the aortic annulus: impact on prosthesis sizing by computed tomography for transcatheter aortic valve replacement. JACC Cardiovasc Interv. 2012;5:984–94.
Mori S, Anderson RH, Tahara N, et al. The differences between bisecting and off-center cuts of the aortic root: the three-dimensional anatomy of the aortic root reconstructed from the living heart. Echocardiography. 2017;34:1–9.
Thubrikar MJ, Bosher LP, Nolan SP. The mechanism of opening of the aortic valve. J Thorac Cardiovasc Surg. 1979;77:863–70.
Thubrikar MU, Nolan SP, Aoud J, Deck JD. Stress sharing between the sinuses and leaflets of canine aortic valve. Ann Thorac Surg. 1986;42:434–40.
De Hart J, Peters GWM, Shreurs PJG, Baaijens FTP. A three-dimensional computational analysis of fluid-structure interaction in the aortic valve. J Biomech. 2003;36:103–12.
Morbiducci U, Ponzini R, Rizzo G, Cadioli M, Esposito A, Montevecchi FM, et al. Mechanistic insight into the physiological relevance of helical blood flow in the human aorta. An in vivo study. Biomech Model Mechanobiol. 2011;10:339–55.
Kvitting JPE, Ebbers T, Wingström L, Engvall J, Olin CL, Bolger AF. Flow patterns in the aortic root and the aorta studied with time-resolved, 3-dimensional, phase contrast magnetic resonance imaging: implication for aortic valve-sparing surgery. J Thorac Cardiovasc Surg. 2004;127:1602–7.
Higashidate M, Tamiya K, Beppu T, Imai Y. Regulation of the aortic valve opening. J Thorac Cardiovasc Surg. 1995;110:496–503.
Bellhouse BJ, Bellhouse FH. Mechanism of closure of the aortic valve. Nature. 1968;217:86–7.
Pisani G, Scaffa R, Ieropoli O, Dell’Amico EM, Maselli D, Morbiducci U, et al. Role of the sinuses of Valsalva on the opening of the aortic valve. J Thorac Cardiovasc Surg. 2013;145:999–1003.
Yoganathan AP, Cape EG, Sung HW, Williams FP, Jimoh A. Review of hydrodynamic principles for the cardiologist: applications to the study of blood flow and jets by imaging techniques. J Am Coll Cardiol. 1988;12:1344–53.
Yellin EL, Peskin CS. Large amplitude pulsatile water flow across an orifice. J Dyn Sys Meas Control. 1975;97:92–5.
Grande-Allen KJ, Cochran RP, Reinhall PG, Kunzelmann KS. Re-creation of sinuses is important for sparing the aortic valve: a finite element study. J Thorac Cardiovasc Surg. 2000;119:753–63.
Weltert L, De Paulis R, Scaffa R, Maselli D, Bellisario A, D'Alessandro S. Re-creation of a sinuslike graft expansion in Bentall procedure reduces stress at the coronary button anastomoses: a finite element study. J Thorac Cardiovasc Surg. 2009;137(5):1082–7.
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De Paulis, R., Salica, A. (2018). Aortic Root Anatomy and Physiology. In: Fattouch, K., Lancellotti, P., Vannan, M., Speziale, G. (eds) Advances in Treatments for Aortic Valve and Root Diseases. Springer, Cham. https://doi.org/10.1007/978-3-319-66483-5_2
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