Figure 6

Streamlines of peak systolic aortic flow in the six valve morphologies. The tricuspid aortic valve (TAV) presents a laminar aortic flow. In the asymmetric bicuspid aortic valves (ABAVs), ABAV-1 morphology revealed eccentric aortic valvular outflow jet impinging on the outer curvature of the ascending aorta; ABAV-2 morphology revealed a long-traveling outflow jet impinging on the outer curvature of the proximal transverse arch; and ABAV-3 morphology revealed a short-traveling outflow jet impinging on the supra-valvular aortic wall. In symmetric BAVs, aortic valvular outflow jets do not impinge on the aortic wall. Arrows indicate the aortic wall locations where the aortic valvular outflow jet impinges.