The clinical anatomy of the right ventricle
The clinical anatomy of the right ventricle
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DOI：
10.1002/ca.22484
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发表时间：
2016-04-01
期刊：
影响因子：
2.4
通讯作者：
Muresian, Horia
中科院分区：
文献类型：
--
作者：
Muresian, Horia
因为体循环和肺循环是串联的，所以人类心脏的右心室和左心室具有相似的每搏输出量（只有微小的心跳间变化）。除了在相应的循环中推动相同体积的血液外，两个心室还具有共同的结构，如心包、室间隔和冠状动脉和静脉，所有这些都完成了人体心脏的动态和完整的图像。然而，左心室和右心室之间存在显著差异，因为每个心室都适应不同的血管床，包括对压力，激素和药物的特殊反应。在这两者中，右心室（RV）迄今为止从诊断的角度来看更难以接近或甚至被忽视，而左心室（LV）被认为是主要的泵，并且诊断和治疗措施被认为同样适用于LV和RV。这篇综述文章提供了一个更新，从临床解剖学的角度描述了RV，并努力强调RV的临床和外科应用的主要特点。临床解剖学29：380-398，2016年。(c)2014 Wiley Periodicals，Inc.
Because the systemic and pulmonary circulations are arranged in series, the right and left ventricles of the human heart have similar stroke volumes (with only minute beat-to-beat changes). Besides propelling the same volume of blood through the corresponding circulations, the two ventricles also share common structures such as the pericardium, the interventricular septum and the coronary arteries and veinsall of which complete the dynamic and integrated picture of the human heart. However, there are marked differences between the left and right ventricles as each is adapted to separate and dissimilar vascular beds, including particular reactivity to stress, hormones, and drugs. Of the two, the right ventricle (RV) has so far been either more difficult to approach from the diagnostic point of view or even overlooked, while the left ventricle (LV) has been considered the main pump, and diagnostic and therapeutic measures have been considered to apply equally to the LV and RV. This review article presents an update, portraying the RV from the clinical anatomical point of view, and endeavors to underscore the main particulars of the RV with clinical and surgical applications. Clin. Anat. 29:380-398, 2016. (c) 2014 Wiley Periodicals, Inc.