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BACKGROUNDThe human aortic valve is a vital structure and knowledge about its normal anatomy is important in detecting valve diseases and in valve replacement surgeries. The normal aortic valve has three semilunar leaflets or cusps, supported within the three aortic sinuses of Valsalva. The valve is known to exhibit anatomical variations with respect to number, shape and size of cusps, circumference and presence of fenestrations. The aim of the study is to detect and document the variations with respect to the number and morphology of the cusps of aortic valve. A prospective observational type of study on 210 random autopsy cases during a period of 6 months with age ranging from 2½ years to 89 years was conducted in the

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BACKGROUND: A 28 yrs old male while driving an autorickshaw / three wheeler was thrown and dislodged after a four wheeler hit his vehicle from the rear. During this momentary collision his chest hit directly on the handle bar of his vehicle. He fell on the road side. He was conscious and physically active as an argument followed. After initial treatment at nearby hospital, he was referred to tertiary hospital. Subsequently within a short time he developed chest pain and breathlessness. He was then brought to Vydehi Hospital emergency and critical care department. Resuscitation was started. Past medical history was not available to correlate with present condition. The main symptoms/signs at that time were cyanosis, arrhythmia and lowO2 saturation. Within a very short time he passed away.