Pulmonary valve

Valva trunci pulmonalis

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What it is
Three thin semilunar cusps (anterior, left and right) at the top of the right ventricular outflow tract, the most anterior and superior of the four valves.
Function
Lets the right ventricle eject into the pulmonary trunk and prevents back-flow during diastole.
Size
Annulus ~20–25 mm; cusps thinner than the aortic ones because pulmonary pressures are ~1/5 of systemic.
Clinical note
Heard best in the left 2nd intercostal space; the pulmonary component of S2 normally splits from the aortic one on inspiration.