 Valve leaflet

A valve leaflet is a mobile tissue flap forming part of a heart valve. Its movement and contact with neighboring leaflets help permit forward blood flow while limiting backward flow. The supporting cardiac valve annulus, the pressure difference and the leaflet's geometry all contribute to its behavior. The meeting of leaflet surfaces that closes a valve is called coaptation.^[ref]

The mitral valve and tricuspid valve have leaflets supported by chordae tendineae and papillary muscles. The aortic valve and pulmonary valve instead have pocket-like cusps without that chordal apparatus. A leaflet is therefore a functional part of a particular valve structure, not an isolated rigid door.

An original force estimate illustrates the loading scale. A uniform pressure difference $\Delta p$ over an effective area $A$ gives a resultant $F=\Delta pA$. For stipulated $\Delta p=12$ kPa and $A=2$ cm${}^2$, $F=2.4$ N. Doubling the area at the same pressure doubles this resultant, but it does not specify how the load is divided among attachments or distributed as tissue stress.

A primary left-heart simulator experiment measured chordae tendineae forces while moving papillary muscles and found responses that depended on the chordal type.^[ref] This gives a concrete reason to examine leaflet geometry and supporting connections together. Complete coaptation is a contact-and-motion condition; an accurate measurement of one chordal force does not by itself show that the entire valve seals.