ABSTRACT
The Mitral Valvular Complex Adequate mitral valve closure requires alignment and contact of the two mitral leafl ets in one single plane (apposition and coaptation). An optimal annulus size, a geometrically correct orientation of the papillary muscles with the tendinous cords attached and the closing forces generated by the left ventricle catalyze this sophisticated process. From an anatomical perspective the mitral apparatus is intimately related to surrounding structures like the electrical conduction system, the aortic valve, the coronary sinus (CS), and the left circumfl ex coronary artery. Evidently this integrated anatomy is relevant for surgical and catheter-bound mitral valve therapies (5).
