Position in Cardiac Silhouette on PA View
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Valve
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central
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aortic or mitral
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inferior, to the right of the midline over the spine
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tricuspid
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just above the atrioventricular groove, close to origin of the great vessels
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pulmonic
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Features of aortic valve:
(1) superior and medial to mitral valve in PA view
(2) superior and anterior to the mitral valve in lateral view; centrally located
(3) struts point superiorly and to the patient's right
Features of mitral valve:
(1) inferior and lateral to aortic valve in PA view
(2) inferior and posterior to the aortic valve in lateral view
(3) struts point inferiorly and to the patient's left
Features of the pulmonic valve
(1) superior to the aortic valve in the PA view
(2) superior and anterior to the aortic valve in lateral view; abuts anterior cardiac silhouette
(3) struts point superiorly and to the patient's left