Heart valve tricuspid valve has anterior, posterior, and septal cusps; and the mitral valve has just anterior and posterior cusps. The valves of the human heart can be grouped in two sets: 1- Two Atrioventricular (AV) valves to prevent backflow of blood from the ventricles into the atria a) Tricuspid valve, located between the right atrium and right ventricle. b) Bicuspid or mitral valve, located between the left atrium and left ventricle. 2- Two Semilunar valves to prevent the backflow of blood into the ventricle a) Pulmonary semilunar valve, located at the opening between the right ventricle and the pulmonary trunk. b)
Mitral insufficiency of the regurgitant flow at the level of the valve. This is known as the regurgitant orifice area, and correlates with the size of the defect in the mitral valve. One particular echocardiographic technique used to measure the orifice area is measurement of the proximal isovelocity surface area (PISA). The flaw of using PISA to determine the mitral valve regurgitant orifice area is that it measures the flow at one moment in time in the cardiac cycle, which may not reflect the average performance of the regurgitant jet. The treatment of mitral insufficiency depends on the acuteness of the disease