Abstract
Introduction. The study consists a detail morphometric investigation of the pulmonary valve by autopsy and computed tomography (CT) scan.
Objective. The aim of this study is to disclose new geometric features of pulmonary valve and to discuss how we can use a new knowledge for cardiovascular surgery.
Material and methods. Morphometric measures of pulmonary valve undergone in to two groups: the first one – autopsy, the second one – CT scan.
Results. We received similar results in both groups. The geometry of “healthy” pulmonary valve has gold ratio proportions with strong correlation between two parts of them have been found in both groups for valve diameter (d) and height (h): d/h=(d+h)/d; for cusps: length (l) and height (h): l/h=( l+h)/l. The values of both proportions tended to Fibonacci number (1.618). Two equations for template to make pulmonary valve prosthesis were proposed and patented (h=d/1.618; l=h•1.618).
Conclusion. Morphometric investigation of pulmonary valve could be done by CT scan. The pulmonary valve geometry consists gold ratio proportions. This knowledge could be helpful for surgeons, radiologists and others.
References
- Bockeria L.A., Makhachev O.M., Panova M.S., Filippkina T.Yu. Manual of normal parameters of the heart: 2nd edn. Moscow; 2010 (in Russ.).
-
Reid K. The anatomy of the sinus of Valsalva. Thorax. 1970; 25 (1): 79–85.
-
Latrémouille C., Chardigny C., Pouzet B., D'Attellis N., Grinda J.M., Couetil J.P. et al. Morphometric study of the pulmonary trunk: implications for a new approach of the Ross procedure. Surg. Radiol. Anat. 2000; 22 (3–4): 129–33.
-
Garg S., Singh P., Sharma A., Gupta G. A gross anatomical study of pulmonary valve in human cadavers. IJMDS. 2014; 3 (1): 325–8.
-
Carpentier A., Adams D.H., Filsoufi F. Review of Carpentier's reconstructive valve surgery from valve analysis to valve reconstruction. Philadelphia: Saunders; 2010.
-
Capps S.B., Elkins R.C., Fronk D.M. Body surface area as a predictor of aortic and pulmonary valve diameter. J. Thorac. Cardiovasc. Surg. 2000; 119 (5): 975–82.
-
Harrell F.E. Jr., Lee K.L., Pollock B.G. Regression models in clinical studies: determining relationships between predictors and response. J. Natl. Cancer. Inst. 1988; 80: 1198–202.
-
Yetkin E., Çelik T., Arpaci M., Ileri M. Left ventricular diameters as a reflection of “extreme and mean ratio”. Int. J. Cardiol. 2015; 198 (1): 85–6.
-
Kunzelman K.S., Grande K.J., David T.E., Cochran R.P., Verrier E.D. Aortic root and valve relationships. Impact on surgical repair. J. Thorac. Cardiovasc. Surg. 1994; 107 (1): 162–70.
-
Iaizzo P.A., Bianco R.W., Hill A.J., St. Louis J.D. (Eds.) Heart valves. From design to clinical implantation. New York: Springer; Science + Business Media; 2013. DOI: 10.1007/978-1-4614-6144-9_16
- Aparci M., Çelik T., Yalcin M., Isilak Z. Golden ratio between left ventricular and aortic dimensions. Int. J. Cardiol. 2016; 205 (15): 60–1. DOI: 10.1016/j.ijcard. 2015.12.017
-
Ozturk S., Yalta K., Yetkin E. Golden ratio: A subtle regulator in our body and cardiovascular system? Int. J. Cardiol. 2016; 223 (15): 143–5. DOI: 10.1016/j.ijcard. 2016.08.147
-
Yalta K., Ozturk S., Yetkin E. Golden Ratio and the heart: A review of divine aesthetics. Int. J. Cardiol. 2016; 214 (1): 107–12. DOI: 10.1016/j.ijcard.2016.03.166
- Henein M.Y., Zhao Y., Nicoll R., Sun L., Khir A.W., Franklin K., Lindqvist P. The human heart: application of the golden ratio and angle. Int. J. Cardiol. 2011; 150 (3): 239–42. DOI: 10.1016/j.ijcard.2011.05.094
About the authors
- Sergey S. Volkov, Cand. Med. Sc., Cardiovascular Surgeon, Senior Researcher, orcid.org/0000-0003-2005-4957
- Anton A. Nosov, Cardiovascular Surgeon, orcid.org/0000-0001-7431-0560
- Svetlana A. Aleksandrova, Cand. Med. Sc., Radiologist, Senior Researcher, orcid.org/0000-0002-7795-9709