Valvular Heart Disease: Difference between revisions

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=== Normal valves ===
=== Normal valves ===
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|{{#widget:YouTube|id=prxQ20XEEwg|autoplay=1|loop=0|right}}
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|This video shows a normal aortic valve on the left and mitral valve on the right. Image from the [http://www.vhlab.umn.edu/ Visible Human Heart]
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All cardiac valves have similar well defined interstitial cell layers, covered by endothelium.  The three cell layers have specific features, and are named fibrose, spongiosa, and the ventricularis.  During the cardiac cycle, the spongiosa rich in glycosaminoglycans, facilitates the relative rearrangements of collagenous and elastic layers.  Valvular interstitial cells (VIC) are abundant in all layers of the cardiac valves and comprise a diverse, dynamic population of resident cells. Regulation of collagen and other matrix components is ensured by enzymes, synthesized by VICs. Integrity of valvular tissue is maintained by interaction of valvular endothelial cells (VECs) with VICs. Changes and remodeling of valvular interstitial and endothelium cell leads to changes in properties of the valve and potentially also valve function.  
All cardiac valves have similar well defined interstitial cell layers, covered by endothelium.  The three cell layers have specific features, and are named fibrose, spongiosa, and the ventricularis.  During the cardiac cycle, the spongiosa rich in glycosaminoglycans, facilitates the relative rearrangements of collagenous and elastic layers.  Valvular interstitial cells (VIC) are abundant in all layers of the cardiac valves and comprise a diverse, dynamic population of resident cells. Regulation of collagen and other matrix components is ensured by enzymes, synthesized by VICs. Integrity of valvular tissue is maintained by interaction of valvular endothelial cells (VECs) with VICs. Changes and remodeling of valvular interstitial and endothelium cell leads to changes in properties of the valve and potentially also valve function.