n(% of 33 classified cusps with HO)
Histopathological features of HO  
Focal and minute HO/multifocal HO 9 (27.3%)/26 (72.7%)
Enchondral ossification-like features from cartilage 9 (27.3%)
Histopathological features in the background of cusps with HO  
Neovessels (ThKA-Vs and/or ThNC-Vs) 32 (97.0%)
Metaplastic cartilage (hyaline and/or fibrous cartilage) 17 (51.5%)
Histopathological features near/adjacent to HO  
Neovessels (ThKA-Vs and/or ThNC-Vs) 27 (81.8%)
No distinct neovascularized vessels 6 (18.2%)*
Lymphoplasmacytic infiltration 24 (72.7%)†
Metaplastic cartilage (hyaline and/or fibrous cartilage) 10 (30.3%)‡
HO: heterotopic ossification; ThKA-Vs: thick, arteriole-like neovascularized vessels; ThNC-Vs: thin capillary-like neovascularized vessels.
*Including 1 non-neovascularized cusp and 5 cusps in which neovascularization was present in areas distant from HO.
†All were found in neovascularizedstroma.
‡Including 9 cusps with enchondral ossification-like features and 1 cusp with “vessel-independent heterotopic ossification” from cartilage.
Table 4: Histopathological features of 33 aortic valvular cusps with heterotopic ossification.