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Related Concept Videos

Aortic Regurgitation I: Introduction01:15

Aortic Regurgitation I: Introduction

IntroductionAortic regurgitation is characterized by the backward flow of blood from the aorta into the left ventricle during diastole and arises from the improper closure of the aortic valve. This condition results in left ventricular volume overload and can stem from both acute and chronic etiologies, each contributing uniquely to the disease's progression and symptomatology.Acute and Chronic CausesAcute aortic regurgitation often results from events that suddenly impair the integrity of the...
Aortic Regurgitation II: Clinical Features and Diagnostic Tests01:22

Aortic Regurgitation II: Clinical Features and Diagnostic Tests

Aortic valve regurgitation (AR) occurs when the aortic valve fails to close properly, allowing blood to flow backward from the aorta into the left ventricle. This backflow can result in two distinct clinical presentations: acute and chronic AR, each characterized by its own set of symptoms and physical findings.Acute Aortic RegurgitationAcute AR presents with a sudden onset of severe symptoms. Patients typically experience profound dyspnea (shortness of breath), chest pain, and signs of left...
Aneurysm III: Interprofessional Care01:26

Aneurysm III: Interprofessional Care

Aneurysm management involves either conservative medical therapy or surgical intervention, depending on the size and symptoms of the aneurysm. Conservative management is generally reserved for smaller, asymptomatic aneurysms, while larger or symptomatic aneurysms often necessitate surgical repair.Conservative Medical TherapyFor small, asymptomatic aneurysms, particularly abdominal aortic aneurysms (AAA) less than 5.5 centimeters in diameter, conservative medical therapy is recommended. This...
Heart Valves01:16

Heart Valves

The human heart is a complex organ with an intricate system of valves that regulate blood flow. There are two main types of valves: atrioventricular (AV) valves and semilunar valves.
The AV valves prevent the backflow of blood from the ventricles to the atria during ventricular contraction. These valves function with the assistance of the chordae tendineae and papillary muscles. When the ventricles are relaxed, the chordae tendineae are slack, allowing blood to flow from the atria into the...
Aortic Regurgitation III: Medical Management01:25

Aortic Regurgitation III: Medical Management

Aortic regurgitation (AR) is when the aortic valve does not close or seal properly, leading to backward blood circulation from the aorta into the left ventricle during diastole. Common causes of AR include rheumatic heart disease, congenital valve defects, and aortic root dilation. Managing AR requires a multifaceted approach to alleviate symptoms, preserve left ventricular function, and address the underlying cause of the regurgitation. Patients with symptomatic AR or significant left...
Mitral Valve Prolapse I: Introduction01:27

Mitral Valve Prolapse I: Introduction

IntroductionThe mitral valve, one of the heart's four valves, regulates blood flow. These valves have flaps that open and close to direct blood properly through the heart and body. During each heartbeat, the flaps open for blood to pass through and seal shut to prevent backflow. Specifically, the mitral valve opens to allow blood flow from the heart's upper left chamber to the lower left chamber. It then closes securely as the lower left chamber contracts to pump blood to the body, preventing...

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Related Experiment Video

Updated: May 20, 2026

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement
14:14

Standardized Technique of Aortic Valve Re-implantation for Valve-sparing Aortic Root Replacement

Published on: December 11, 2017

Strain transfer through the aortic valve.

Afshin Anssari-Benam1, Himadri S Gupta, Hazel R C Screen

  • 1School of Engineering and Materials Science, Queen Mary, University of London, Mile End Road, E1 4NS London, UK.

Journal of Biomechanical Engineering
|July 5, 2012
PubMed
Summary
This summary is machine-generated.

The aortic valve's fibrous network deforms non-uniformly, showing no direct strain transfer from tissue to network. This internal shearing may expose valve cells to damaging shear stresses.

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Area of Science:

  • Biomedical Engineering
  • Materials Science
  • Cardiovascular Research

Background:

  • The aortic valve (AV) extracellular matrix (ECM) has a complex structure enabling significant tissue deformation.
  • Collagen and elastin fibers form a fibrous network (FN) crucial for load-bearing in the AV matrix.
  • Understanding strain transfer within the AV ECM is vital for microstructural modeling.

Purpose of the Study:

  • To investigate the correlation between tissue-level strains and local fibrous network (FN) strains in the aortic valve (AV).
  • To characterize the mode of strain transfer (affine vs. nonaffine) through the AV tissue.
  • To analyze local FN deformation in response to applied tissue-level strains.

Main Methods:

  • Quantitative analysis of tissue-level strains applied to AV samples.
  • Measurement of macrostrains across the AV tissue surface.
  • Investigation of local FN strains within the AV ECM.

Main Results:

  • FN strain distribution across AV samples was inhomogeneous, nonuniform, and anisotropic.
  • No direct transfer of applied tissue-level deformation to the FN was observed.
  • Loading modes within the FN differed from applied tissue loads due to varying local strains.

Conclusions:

  • The study reveals a lack of direct strain transfer from the tissue to the fibrous network in the aortic valve.
  • Nonuniform local strains induce internal shearing within the AV's FN.
  • This internal shearing may expose aortic valve interstitial cells (AVICs) to potentially harmful shear strains and stresses.