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The Right Ventricle pp 37–51Cite as

Ventricular Interdependence

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Part of the book series: Developments in Cardiovascular Medicine ((DICM,volume 83))

Abstract

It has long been appreciated that the function of one ventricle can influence the performance of the other. This ventricular interaction can occur via three mechanisms: 1) Since the two ventricles are arranged in series, if the output of the right ventricle decreases, then preload to the left ventricle necessarily declines; conversely, if performance of the left ventricle is decreased, then afterload to the right ventricle may be increased. 2) Both ventricles are enclosed in the pericardium, which may cause restriction to ventricular filling even at physiologic pressures {1}. Expansion of one ventricle, therefore, may result in compression of the other with an apparent decrease in compliance {2}. 3) Finally, the two ventricles share a common wall, the ventricular septum, which allows direct mechanical interaction between the two chambers. In this chapter we will deal primarily with this latter mechanism while recognizing that ventricular interaction mediated through the septum is modulated by the pericardium. Following a review of some pertinent historical and anatomic data, we will deal in turn with a number of the major clinical states in which ventricular interdependence is demonstrable via this septal mechanism.

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Authors
  1. Eldon R. Smith
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  2. John V. Tyberg
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Editor information

Editors and Affiliations

  1. Tufts University School of Medicine, 750 Washington Street, 02111, Boston, MA, USA

    Marvin A. Konstam M.D. (Associate Professor of Medicine and Radiology, Director) & Jeffrey M. Isner M.D. (Associate Professor of Medicine and Pathology, Associate Director) (Associate Professor of Medicine and Radiology, Director) &  (Associate Professor of Medicine and Pathology, Associate Director)

  2. Adult Cardiac Catheterization and Cardiac Nuclear Medicine Laboratories, New England Medical Center, 750 Washington Street, 02111, Boston, MA, USA

    Marvin A. Konstam M.D. (Associate Professor of Medicine and Radiology, Director) (Associate Professor of Medicine and Radiology, Director)

  3. Adult Cardiac Catheterization Laboratory, New England Medical Center Hospitals, 750 Washington Street, 02111, Boston, MA, USA

    Jeffrey M. Isner M.D. (Associate Professor of Medicine and Pathology, Associate Director) (Associate Professor of Medicine and Pathology, Associate Director)

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© 1988 Kluwer Academic Publishers

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Smith, E.R., Tyberg, J.V. (1988). Ventricular Interdependence. In: Konstam, M.A., Isner, J.M. (eds) The Right Ventricle. Developments in Cardiovascular Medicine, vol 83. Springer, Boston, MA. https://doi.org/10.1007/978-1-4613-1773-9_3

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  • DOI: https://doi.org/10.1007/978-1-4613-1773-9_3

  • Publisher Name: Springer, Boston, MA

  • Print ISBN: 978-1-4612-8994-4

  • Online ISBN: 978-1-4613-1773-9

  • eBook Packages: Springer Book Archive

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