Mitral Valve: Overview, Structure, Role, Diagram, and Related Disorders
Rachel Nall
Rachel Nall 7 years ago
Medical Writer & Certified Registered Nurse Anesthetist #Sexual Wellness
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Mitral Valve: Overview, Structure, Role, Diagram, and Related Disorders

Explore the mitral valve’s essential role in heart function, its anatomy, common disorders, and modern strategies to maintain heart health and minimize risks.

The mitral valve, also called the bicuspid valve, is one of the four crucial valves in the heart that ensures blood flows in the correct direction without backflow.

Discover detailed insights about the mitral valve’s placement, structure, and its vital role in cardiac performance.

Location of the Mitral Valve

Situated on the left side of the heart, the mitral valve lies between the left atrium and left ventricle. Oxygen-enriched blood enters the left atrium from the pulmonary veins. When the atrium fills, the mitral valve opens to allow blood to pass into the left ventricle.

It then promptly closes to prevent blood from flowing backward into the atrium, a process that happens swiftly with each heartbeat.

Anatomy and Function of the Mitral Valve

The mitral valve’s unique components work harmoniously to regulate blood flow through the heart efficiently.

Leaflets

The valve comprises two leaflets that act like flaps, opening and closing to control blood movement. The anterior leaflet, a semicircular structure, covers about two-fifths of the valve’s area, while the posterior leaflet covers the remaining three-fifths and is subdivided into three parts: P1, P2, and P3.

Commissures

These are the junctions where the anterior and posterior leaflets meet, ensuring a tight seal during valve closure.

Chordae Tendineae

These fan-shaped connective tissues anchor the leaflets to papillary muscles within the heart, reducing tension and enabling smooth valve movements.

Zone of Coaptation

This textured area on the valve’s upper surface is where the chordae tendineae attach. Though small, any irregularities here can impact valve performance.

Mitral Annulus

The mitral annulus is a fibrous ring anchoring the valve to the heart tissues of the left atrium and ventricle, with distinct anterior and posterior sections supporting the leaflets.

Common Mitral Valve Disorders

Several conditions can impair mitral valve function, collectively termed mitral valve disease.

Mitral Valve Prolapse

Mitral valve prolapse, the leading cause for valve repair surgeries in the U.S., occurs when the valve leaflets are abnormally loose and fail to close completely. While often asymptomatic, it can lead to mitral valve regurgitation in some individuals.

Mitral Valve Regurgitation

This condition involves the backward leakage of blood into the left atrium, forcing the heart to work harder and potentially causing enlargement. Causes include mitral valve prolapse, heart attacks, and rheumatic fever.

Symptoms may include:

  • Heart palpitations
  • Irregular heartbeat
  • Shortness of breath
  • Swelling in the legs or feet
  • Persistent cough

Mitral Valve Stenosis

Mitral valve stenosis is characterized by the valve’s inability to open fully, restricting blood flow and causing the heart to pump more forcefully. Symptoms often include:

  • Dizziness
  • Swelling in feet
  • Breathlessness
  • Coughing up blood
  • Chest discomfort

Preventing Mitral Valve Disease

Adopting heart-healthy habits can significantly reduce the risk of developing mitral valve issues:

  • Cut down on sodium by avoiding processed foods and limiting added salt.
  • Limit or abstain from alcohol consumption.
  • Engage in at least 30 minutes of moderate exercise most days.
  • Maintain a healthy weight to lessen cardiac strain.

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