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Right Ventricle
Cardiovascular System

Right Ventricle

Ventriculus dexter

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Morphology/Structure

The right ventricle forms the majority of the anterior (sternocostal) surface of the heart, where it extends from the right atrioventricular valve almost to the apex of the heart. It's separated from the left ventricle by the interventricular septum.

The thickness of the right ventricular wall is only one third that of the left ventricle and is approximately 3–5 mm thick. Due to the dominance of the left ventricle, which forms the majority of the apex of the heart, the interventricular septum bulges into the right ventricle, giving it a crescent shape when viewed on a transverse cross section.

The inlet of the right ventricle contains the right atrioventricular valve (tricuspid valve), while the smooth-walled outflow tract is called the infundibulum (conus arteriosus) and extends superiorly to the pulmonary orifice. The remainder of the internal surface contains deep muscular ridges, the trabeculae carneae, which are highly varied in appearance. These are not to be confused with the ridges of pectinate muscles found in the atria.

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Key Features/Anatomical Relations

Externally, the anterior surface of the left and right ventricles is divided by the anterior interventricular sulcus containing the anterior interventricular artery and the great cardiac vein.

On its inferior (diaphragmatic) surface, the left and right ventricles are divided by the posterior interventricular sulcus which contains the inferior interventricular branches (or posterior descending artery) and middle cardiac vein.

The coronary sulcus (atrioventricular sulcus) divides the atria above from the ventricles below and contains the main limbs of the coronary vessels. However, the sulci and vessels are often obscured with adipose tissue.

Internally, the papillary muscles are muscular bundles that extend from the ventricular walls and end in thin collagenous cords, the chordae tendineae (or coarse apical trabeculations), which insert into the leaflets of the right atrioventricular valve.

One particular trabecula is called the septomarginal trabecula (or moderator band), which connects to the anterior papillary muscle. The moderator band contains the right atrioventricular bundle and is an important component in the conducting system of the heart, where it aids in coordinated ventricular contraction.

Function

During right atrial contraction (atrial systole), the right ventricle is relaxed (ventricular diastole), allowing the deoxygenated blood to enter the ventricle without resistance. As the right atrium relaxes and refills (atrial diastole), the right ventricle contracts (ventricular systole), forcing the deoxygenated blood through the pulmonary valve and into the pulmonary trunk for transport to the lungs.

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Heart Right Ventricle

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22 The donor heart's right ventricle is not prepared to generate the pressures needed to contract against elevated filling pressure and elevated outflow resistance.

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